Organization
BALD SPOT RACING, LLC
Active
Other names
Bald Spot Sports
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAVIS COBB (PARTNER)
(317) 705-2880
Entity
Organization
Contact information
Practice address
17715 COMMERCE DR, SUITE 100, WESTFIELD, IN 46074-8971
(317) 537-7328
Mailing address
17715 COMMERCE DRIVE, SUITE 100, WESTFEILD, IN 46074-8972
(317) 402-7188
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
08/19/2010
Last updated
09/21/2015
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