| Comprehensive Spine Care | |
|
2499 W Cota Dr Bloomington IN 47403-4217 | |
| (812) 337-0210 | |
| (812) 337-0211 |
| Full Name | Comprehensive Spine Care |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2499 W Cota Dr, Bloomington, Indiana |
| Authorized Official Name and Position | Kamal Kumar Tiwari (PRESIDENT/OWNER) |
| Authorized Official Contact | 8123337246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Comprehensive Spine Care Po Box 5637 Attn: Maria Mitchell Bloomington IN 47407-5637 Ph: (812) 824-5688 | Comprehensive Spine Care 2499 W Cota Dr Bloomington IN 47403-4217 Ph: (812) 337-0210 |
| NPI Number | 1639164700 |
|---|---|
| Provider Enumeration Date | 09/15/2005 |
| Last Update Date | 11/14/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639164700 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 50004448A (Indiana) | Primary |
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