NPI 1003096306

Spine Midwest, INC

Organisation Multi-Specialty Clinic/Center Jefferson City, MO

Practice location

Address: 200 Saint Marys Medical Plz Suite 301, Jefferson City, MO 65101-1604
Phone: (573) 634-4212

Authorised official

Name: William Blake Rodgers
Title: President
Phone: (573) 634-4212

Registered specialties

Multi-Specialty Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QM1300X

Other Clinic/Center providers in Missouri →

Registry record

NPI: 1003096306
Entity type: Organization
NPI issued: 5 Nov 2007
Record last updated: 5 Nov 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.