Organization
REGIONAL BRAIN & SPINE LLC
Active
Parent organization
REGIONAL BRAIN & SPINE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
REGIONAL BRAIN & SPINE LLC
Authorized official
ASHLEY E MCDOWELL (CREDENTIALING)
(573) 332-7746
Entity
Organization
Contact information
Practice address
1617 EAST MALONE, SIKESTON, MO 63801-5021
(573) 332-7746
(573) 339-9709
Mailing address
1723 BROADWAY, SUITE 410, CAPE GIRARDEAU, MO 63701-4556
(573) 332-7746
(573) 339-9709
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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