Organization
REGIONAL BRAIN & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA MORGAN (BUSINESS OFFICE MGR)
(573) 275-7715
Entity
Organization
Contact information
Practice address
1723 BROADWAY, SUITE 410, CAPE GIRARDEAU, MO 63701
(573) 332-7746
(573) 339-9709
Mailing address
1723 BROADWAY ST STE 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505320101
—
MO
Enumeration date
05/05/2006
Last updated
01/26/2026
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