Organization
LASER SPINE INSTITUTE OF PENNSYLVANIA, LLC
Active
Parent organization
LASER SPINE INSTITUTE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LASER SPINE INSTITUTE, LLC
Authorized official
MR. CRAIG S NIEBUR (CHIEF FINANCIAL OFFICER)
(813) 289-9613
Entity
Organization
Contact information
Practice address
656 E SWEDESFORD RD, SUITE 100, WAYNE, PA 19087-1606
(813) 289-9613
(813) 418-4112
Mailing address
656 E SWEDESFORD RD, SUITE 100, WAYNE, PA 19087-1606
(813) 289-9613
(813) 418-4112
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/25/2009
Last updated
08/25/2009
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