| Pro Spine And Sport, Llc | |
|
943 Automation Way, A1, Medford, OR 97504-4192 | |
| (541) 944-8404 | |
| Not Available |
| Full Name | Pro Spine And Sport, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Sports Physician |
| Location | 943 Automation Way, Medford, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912385816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NS0005X | Chiropractor - Sports Physician | 5507 (Oregon) | Primary |
| Provider Name | Corey R O'neill |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1023445327 PECOS PAC ID: 2062631179 Enrollment ID: I20140922001447 |
| Provider Name | Nathan Robinson Kahm |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619511003 PECOS PAC ID: 0345653374 Enrollment ID: I20210111002480 |
| Provider Name | Garrett A Garcia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1275165805 PECOS PAC ID: 4880021039 Enrollment ID: I20230413002063 |
| Provider Name | Justin Anthony Newsom |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1881224780 PECOS PAC ID: 0648606632 Enrollment ID: I20230804000750 |
| Mailing Address | Practice Location Address |
|---|---|
| Pro Spine And Sport, Llc Po Box 5267, Central Point, OR 97502-0051 Ph: () - | Pro Spine And Sport, Llc 943 Automation Way, A1, Medford, OR 97504-4192 Ph: (541) 944-8404 |
Dr. Jeffrey Scott Taylor, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1744 E Mcandrews Rd, Ste. A, Medford, OR 97504 Phone: 541-779-8338 Fax: 541-779-8338 | |
John D Blenkush, Dc, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3190 State St, Suite 101, Medford, OR 97504 Phone: 541-772-4399 Fax: 541-772-4228 | |
Dr. Cornelius Amos Towne, Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 977 Royal Ave, Medford, OR 97504 Phone: 541-779-8331 Fax: 541-779-0217 | |
Towne Chiropractic Clinic P.c. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 977 Royal Ave, Medford, OR 97504 Phone: 541-779-8331 | |
Corey O'neill, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 943 Automation Way, A1, Medford, OR 97504 Phone: 541-601-5062 | |
Steve Issac Santoni, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 4149 S Pacific Hwy Ste 434, Medford, OR 97501 Phone: 541-816-7710 | |
Dr. Clark H Wolf Iii, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 524 E Main St, Medford, OR 97504 Phone: 541-773-2379 Fax: 541-773-2379 |