Spine Midwest, INC
NPI #1003096306 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1003096306
- Entity Type
- Organization
- Organization Name
- Spine Midwest, INC
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Nov 5, 2007
- Last Updated
- Nov 5, 2007
Practice Location
- Address
- 200 SAINT MARYS MEDICAL PLZ
- Address 2
- SUITE 301
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-1604
- Phone
- (573) 634-4212
Authorized Official
- Name
- WILLIAM BLAKE RODGERS, M.D.
- Title
- PRESIDENT
- Phone
- (573) 634-4212
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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