Organization
SPINE MIDWEST, INC
Active
Organization
SPINE MIDWEST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BLAKE RODGERS M.D. (PRESIDENT)
(573) 634-4212
Entity
Organization
Contact information
Practice address
200 SAINT MARYS MEDICAL PLZ, SUITE 301, JEFFERSON CITY, MO 65101-1604
(573) 634-4212
Mailing address
200 SAINT MARYS MEDICAL PLZ, SUITE 301, JEFFERSON CITY, MO 65101-1604
(573) 634-4212
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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