Spine Innovations, LLC
NPI #1639339021 in Little Rock, Arkansas
Provider Information
- NPI Number
- 1639339021
- Entity Type
- Organization
- Organization Name
- Spine Innovations, LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Jun 10, 2008
- Last Updated
- Jun 10, 2008
Practice Location
- Address
- 11912 KANIS RD STE F8
- City
- Little Rock
- State
- Arkansas
- ZIP Code
- 72211-3771
- Phone
- (501) 255-1580
Authorized Official
- Name
- MR. ROBERT D MAZZARELLA
- Title
- PRESIDENT
- Phone
- (501) 255-1580
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physiological Laboratory |
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