Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Primary Care |
261QP2300X |
| NPI # | 1578803599 |
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| LBN Legal business name | HUMBOLDT SPINE & REHAB PC | ||||
| Authorized official | MARK CIRKS - (VP/SECRETARY) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/28/2013 | ||||
| Last updated | 02/28/2013 - About 13 years ago | ||||
| Identifiers |
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