Surgical Spine Specialists, LLC

NPI #1821291980 in Lacombe, Louisiana

Provider Information

NPI Number: 1821291980
Entity Type: Organization
Organization Name: Surgical Spine Specialists, LLC
Primary Specialty: Specialist
Enumeration Date: Jun 7, 2007
Last Updated: Jan 23, 2008

Practice Location

Address: 29301 N. DIXIE RANCH ROAD
City: Lacombe
State: Louisiana
ZIP Code: 70445-2290
Phone: (985) 871-4114

Authorized Official

Name: DR. JOHN LOGAN, M.D.
Title: MEMBER
Phone: (985) 871-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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