Valley Sport & Spine

NPI 1851784540 - Chiropractor - 111N00000X

NPI Details
NPI 1851784540
Enumeration Date 03/05/2015
Last Updated 03/05/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name GRANT MICHAEL GRANT
Position OWNER
Phone (847) 340-1715
Fax
Practice Location
19151 SONOMA HWY
SONOMA CA, 95476-5449, US
Phone (847) 340-1715
Fax
Business Location
19151 SONOMA HWY
SONOMA CA, 95476, US
Phone (847) 340-1715
Fax
Toxanomy
Taxonomy Code 111N00000X
License State California
License Number CA32312
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According to our database, Valley Sport & Spine NPI is 1851784540, taxonomy code is 111N00000X and license number is CA32312, license state is located at California. Valley Sport & Spine physically located at 19151 Sonoma Hwy, Sonoma CA, 95476-5449. NPI Number 1033115704 has the healthcare provider type.

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1851784540 NPI number is provided on an as is basis without warranty of any kind. 1851784540 is maintained by the National Plan & Provider Enumeration System. The contents of Valley Sport & Spine are for informational purposes only.