Dynamic Pain & Wellness Pllc

NPI #1861963290 in Crestview, Florida

Provider Information

NPI Number: 1861963290
Entity Type: Organization
Organization Name: Dynamic Pain & Wellness Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: DYNAMIC PAIN & WELLNESS PLLC
Primary Specialty: Clinic/Center - Radiology
Enumeration Date: Dec 11, 2018
Last Updated: Dec 11, 2018

Practice Location

Address: 210 S MAIN ST
City: Crestview
State: Florida
ZIP Code: 32536-3737
Phone: (850) 226-6801

Authorized Official

Name: SARAH BAILEY
Title: CREDENTIALING
Phone: (850) 226-6801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Radiology — Radiology	261QR0200X	Primary

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