Organization
ADVANCED SPINE JOINT AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON BUPP D.C. (PARTNER)
(330) 336-9500
Entity
Organization
Contact information
Practice address
5020 VICTOR DR, MEDINA, OH 44256-9688
(330) 433-4243
(330) 721-6508
Mailing address
5020 VICTOR DR, MEDINA, OH 44256-9688
(330) 433-4243
(330) 721-6508
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
11/03/2020
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