Organization
KASIA VAN PETT, MD, PC
Active
Parent organization
NEUROSPINE INSTITUTE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEUROSPINE INSTITUTE, LLC
Authorized official
JERRY COMSTOCK (ADMINISTRATOR)
(541) 686-3791
Entity
Organization
Contact information
Practice address
74B CENTENNIAL LOOP, SUITE 100, EUGENE, OR 97401-7918
(541) 686-3791
(541) 686-3795
Mailing address
74B CENTENNIAL LOOP, SUITE 100, EUGENE, OR 97401-7918
(541) 686-3791
(541) 686-3795
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150130
—
OR
Enumeration date
08/16/2006
Last updated
10/10/2007
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