Comprehensive Spine Care
NPI #1639164700 in Bloomington, Indiana
Provider Information
- NPI Number
- 1639164700
- Entity Type
- Organization
- Organization Name
- Comprehensive Spine Care
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Sep 15, 2005
- Last Updated
- Nov 14, 2007
Practice Location
- Address
- 2499 W COTA DR
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-4217
- Phone
- (812) 337-0210
Authorized Official
- Name
- KAMAL KUMAR TIWARI, MD
- Title
- PRESIDENT/OWNER
- Phone
- (812) 333-7246
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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