Organization
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Active
Parent organization
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PERFORMANCE SPINE & SPORTS PHYSICIANS, P.C.
Authorized official
THOMAS HALEY M.D. (MEDICAL DIRECTOR)
(610) 275-7013
Entity
Organization
Contact information
Practice address
2 LAWNTON RD, EAST NORRITON, PA 19401-1800
(610) 275-7013
Mailing address
2980 N BEVERLY GLEN CIR, STE 301, LOS ANGELES, CA 90077-1726
(310) 474-9809
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
03/04/2011
Last updated
03/04/2011
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