Regional Brain & Spine LLC

NPI #1932752243 in Sikeston, Missouri

Provider Information

NPI Number: 1932752243
Entity Type: Organization
Organization Name: Regional Brain & Spine LLC
Subpart: Yes (part of a larger organization)
Parent Organization: REGIONAL BRAIN & SPINE LLC
Primary Specialty: Neurological Surgery
Enumeration Date: Jul 17, 2019
Last Updated: Jul 17, 2019

Practice Location

Address: 1617 EAST MALONE
City: Sikeston
State: Missouri
ZIP Code: 63801-5021
Phone: (573) 332-7746

Authorized Official

Name: ASHLEY E MCDOWELL
Title: CREDENTIALING
Phone: (573) 332-7746

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Neurological Surgery	207T00000X	Primary

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