Organization
NEUROSPINE-PAIN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE SMITH (PRESIDENT)
(260) 460-3100
Entity
Organization
Contact information
Practice address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 460-3100
(260) 399-4701
Mailing address
7956 W JEFFERSON BLVD, FORT WAYNE, IN 46804-4140
(260) 399-4700
(260) 399-4701
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2006
Last updated
08/17/2018
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