Organization · Type 2 NPI

Heartland Spine, LLC

Neurological Surgery Physician · Marion, IL

NPI number 1144478330 Active

Practice location

3905 W Ernestine Dr
Marion, IL 62959-5800

Call (573) 331-5761 Map

Fax (573) 331-5762

Mailing address

3250 Gordonville Rd, Suite 450
Cape Girardeau, MO 63703-5056

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X2006012799 (MO)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1144478330

Heartland Spine, LLC's National Provider Identifier is 1144478330, issued on Sep 3, 2008. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Marion, IL. The record was last updated on Sep 3, 2008.