PERFORMANCE SPINE AND SPORTS PHYSICIANS PC NPI 1306157300

NPI Information

PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC is a non pharmacy dispensing site in Phoenixville, PA. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PERFORMANCE SPINE AND SPORTS PHYSICIANS, PC NPI is 1306157300. The provider is registered as an organization entity type.

The provider's business location address is:

824 MAIN ST
STE 201
PHOENIXVILLE, PA
ZIP 19460-478
Phone: (610) 935-0719

The provider's authorized official is David Lichten .
The authorized official title is Medical Director and has the following contact phone number (610) 935-0719.

The enumeration date for this NPI number is 6/24/2010 and was last updated on 12/13/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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