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Organization
LORDEX SPINE CENTER OF COLUMBIA P.C.
Active
Organization
LORDEX SPINE CENTER OF COLUMBIA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BROOKS M TRAVIS D.C. (OWNER)
(573) 443-0551
Entity
Organization
Contact information
Practice address
3400 BUTTONWOOD DR, STE C, COLUMBIA, MO 65201-3720
(573) 443-0551
(573) 442-2959
Mailing address
3400 BUTTONWOOD DR, STE C, COLUMBIA, MO 65201-3720
(573) 443-0551
(573) 442-2959
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
2002023835
MO
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
R8620
MO
Other
Enumeration date
11/06/2006
Last updated
08/17/2009
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