Organization
SPINE & SPORTS MEDICINE
Active
Organization
SPINE & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD NEKOOMARAM M.D. (PRESIDENT)
(765) 453-7700
Entity
Organization
Contact information
Practice address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 453-7700
Mailing address
2226 W ALTO RD, KOKOMO, IN 46902-4840
(765) 453-7700
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
50003295A
IN
Other
Enumeration date
05/05/2007
Last updated
11/04/2008
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