Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1821327560 |
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| LBN Legal business name | JUNEAU SPINE AND PAIN CENTER LLC | ||||
| Authorized official | JOHN BURSELL - (MEMBER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 12/09/2009 | ||||
| Last updated | 03/23/2016 - About 10 years ago | ||||
| Identifiers |
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