Laser Spine Institute of Pennsylvania, LLC

NPI #1730312786 in Wayne, Pennsylvania

Provider Information

NPI Number: 1730312786
Entity Type: Organization
Organization Name: Laser Spine Institute of Pennsylvania, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: LASER SPINE INSTITUTE, LLC
Primary Specialty: Specialist
Enumeration Date: Aug 25, 2009
Last Updated: Aug 25, 2009

Practice Location

Address: 656 E SWEDESFORD RD
Address 2: SUITE 100
City: Wayne
State: Pennsylvania
ZIP Code: 19087-1606
Phone: (813) 289-9613

Authorized Official

Name: MR. CRAIG S NIEBUR
Title: CHIEF FINANCIAL OFFICER
Phone: (813) 289-9613

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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