Organization
INNOVATIVE PAIN & SPINE SPECIALISTS
Active
Parent organization
INNOVATIVE PAIN & SPINE SPECIALISTS
Other names
Pharma Innovations
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVATIVE PAIN & SPINE SPECIALISTS
Authorized official
MISS DORI J ROTH (PRACTICE ADMINISTRATOR)
(402) 413-5010
Entity
Organization
Contact information
Practice address
7121 STEPHANIE LN STE 104, LINCOLN, NE 68516-5359
(402) 413-5010
Mailing address
7121 STEPHANIE LN STE 104, LINCOLN, NE 68516-5359
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
707
NE
Other
Enumeration date
11/27/2017
Last updated
11/27/2017
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