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An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Medical Specialty |
261QM2500X |
| NPI Number | 1952671356 |
| LBN Legal business name | MANCHESTER INTERVENTIONAL SPINE, LLC |
| Authorized official | DOUGLAS JORGENSEN - (MEDICAL DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/03/2012 |
| Last updated | 05/22/2012 - About 14 years ago |
| Identifiers | n/a |
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MANCHESTER INTERVENTIONAL SPINE, LLC