Organization
SPINE STOP GLASGOW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WILSON (CREDENTIALING SPECIALIST)
(636) 208-8163
Entity
Organization
Contact information
Practice address
1101 CLEVELAND AVE, GLASGOW, KY 42141-1011
(270) 237-3304
Mailing address
1101 CLEVELAND AVE, GLASGOW, KY 42141-1011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/24/2020
Last updated
02/24/2020
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