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Organization
MICHAEL ANDREWS
Active
Organization
MICHAEL ANDREWS
Active
Other names
Rancho Spine and Sport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BRYAN ANDREWS DC (OWNER)
(909) 466-4590
Entity
Organization
Contact information
Practice address
8325 HAVEN AVE, SUITE 120, RANCHO CUCAMONGA, CA 91730-3894
(909) 466-4590
(909) 466-4598
Mailing address
8325 HAVEN AVE, SUITE 120, RANCHO CUCAMONGA, CA 91730-3894
(909) 466-4590
(909) 466-4598
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
29682
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC029680
BLUE SHIELD
CA
Enumeration date
07/18/2011
Last updated
07/18/2011
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