Performance Spine and Sports Physicians, PC
NPI #1306157300 in Phoenixville, Pennsylvania
Provider Information
- NPI Number
- 1306157300
- Entity Type
- Organization
- Organization Name
- Performance Spine and Sports Physicians, PC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC
- Primary Specialty
- Non-Pharmacy Dispensing Site
- Enumeration Date
- Jun 24, 2010
- Last Updated
- Dec 13, 2011
Practice Location
- Address
- 824 MAIN ST
- Address 2
- STE 201
- City
- Phoenixville
- State
- Pennsylvania
- ZIP Code
- 19460-4478
- Phone
- (610) 935-0719
Authorized Official
- Name
- DR. DAVID LICHTEN, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (610) 935-0719
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-Pharmacy Dispensing Site |
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