San Mateo Spine Center a Medical Corporation
NPI #1043463441 in San Mateo, California
Provider Information
- NPI Number
- 1043463441
- Entity Type
- Organization
- Organization Name
- San Mateo Spine Center a Medical Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 29, 2008
- Last Updated
- Feb 13, 2014
Practice Location
- Address
- 101 S SAN MATEO DR STE 301
- City
- San Mateo
- State
- California
- ZIP Code
- 94401-3844
- Phone
- (650) 558-1802
Authorized Official
- Name
- DENISE KUBICK
- Title
- OFFICE MANAGER
- Phone
- (650) 685-9940
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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