Organization
ADVANCED SPINE JOINT AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TROY NAFTZGER PA (OWNER)
(330) 721-6504
Entity
Organization
Contact information
Practice address
3591 RESERVE COMMONS DR, SUITE 100, MEDINA, OH 44256-5334
(330) 721-6504
(330) 721-6508
Mailing address
3591 RESERVE COMMONS DR, SUITE 100, MEDINA, OH 44256-5334
(330) 721-6504
(330) 721-6508
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0085605
—
OH
Enumeration date
11/19/2015
Last updated
11/19/2015
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