Pacific Brain & Spine Med Grp Inc

NPI 1023075678 - Neurological Surgery - 207T00000X

NPI Details
NPI 1023075678
Enumeration Date 04/27/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JEFFREY BLAINE JEFFREY
Position PRESIDENT
Phone (510) 886-3138
Fax (510) 373-1616
Practice Location
20055 LAKE CHABOT RD
# 110
CASTRO VALLEY CA, 94546, US
Phone (510) 886-3138
Fax (510) 373-1616
Business Location
20055 LAKE CHABOT RD
# 110
CASTRO VALLEY CA, 94546, US
Phone (510) 886-3138
Fax (510) 373-1616
Toxanomy
Taxonomy Code 207T00000X
License State
License Number
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According to our database, Pacific Brain & Spine Med Grp Inc NPI is 1023075678, taxonomy code is 207T00000X Pacific Brain & Spine Med Grp Inc physically located at 20055 Lake Chabot Rd, Castro Valley CA, 94546. NPI Number 1033115704 has the healthcare provider type.

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1023075678 NPI number is provided on an as is basis without warranty of any kind. 1023075678 is maintained by the National Plan & Provider Enumeration System. The contents of Pacific Brain & Spine Med Grp Inc are for informational purposes only.