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Organization

RESTORE SPINE AND PAIN SPECIALISTS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID GUZAN JR. MBA (MANAGER MEMBER)
(985) 956-7216
Entity
Organization

Contact information

Practice address
15814 PROFESSIONAL PLZ, HAMMOND, LA 70403-1453
(985) 956-7216
(985) 956-7186
Mailing address
15814 PROFESSIONAL PLZ, HAMMOND, LA 70403-1453
(985) 956-7216
(985) 956-7186

Taxonomy

Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
363LP2300X
Primary Care Nurse Practitioner

Other

Enumeration date
01/23/2020
Last updated
01/23/2020
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