Organization
ADVANCED SPINE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYDIA LYNN THOMAS (BILLING DIRECTOR)
(314) 991-7707
Entity
Organization
Contact information
Practice address
3009 N BALLAS RD STE 320A, SAINT LOUIS, MO 63131-2324
(314) 991-7707
(314) 432-2564
Mailing address
3009 N BALLAS RD STE 320A, SAINT LOUIS, MO 63131-2324
(314) 991-7707
(314) 432-2564
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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