PRO SPINE AND SPORT, LLC
Anesthesiologist Assistant in Medford, OR

License number
Oregon 5507
Category
Chiropractic
Type
Sports Physician
Owner
Name: COREY O'NEILL
Title: OWNER/PHYSICIAN
Phone: (541) 944-8404
Address
Address
943 Automation Way A1, Medford, OR 97504
National Provider ID: 1912385816
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PRO SPINE AND SPORT, LLC at bizstanding.com

PRO SPINE AND SPORT, LLC

Medford, OR

Registration:
Oct 1, 2013
Addresses:
165 Casey Way, Central Point, OR 97502 (Mailing)
943 Automation Way STE A1, Medford, OR 97504 (Physical)
State ID:
96815494
Business type:
DOMESTIC LIMITED LIABILITY COMPANY
Agent:
Corey O'neill,943 Automation Way STE A1, Medford, OR 97504 (Physical)

Anesthesiologist Assistant licenses in Oregon










Other Doctors licenses in Oregon