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Organization
SAN MATEO SPINE CENTER A MEDICAL CORPORATION
Active
Organization
SAN MATEO SPINE CENTER A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE KUBICK (OFFICE MANAGER)
(650) 685-9940
Entity
Organization
Contact information
Practice address
101 S SAN MATEO DR STE 301, SAN MATEO, CA 94401-3844
(650) 558-1802
Mailing address
101 S SAN MATEO DRIVE SUITE 301, SAN MATEO, CA 94401
(650) 558-1802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/29/2008
Last updated
02/13/2014
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