Organization
SPINE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA A FAIRCHILD DC (PRESIDENT)
(302) 731-0869
Entity
Organization
Contact information
Practice address
300 CHRISTIANA MEDICAL CTR, CHRISTIANA, DE 19702-1653
(302) 731-0869
(302) 292-0669
Mailing address
101 BERWYCK CT, NEWARK, DE 19702-2078
(302) 731-0869
(302) 292-0669
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
F1-0000788
DE
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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