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Organization
PACIFIC SPINE AND WELLNESS PC
Active
Organization
PACIFIC SPINE AND WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY EBERHART DC (OWNER)
(949) 724-1800
Entity
Organization
Contact information
Practice address
3300 IRVINE AVE STE 307, NEWPORT BEACH, CA 92660-3108
(949) 724-1800
(949) 724-1811
Mailing address
3300 IRVINE AVE STE 307, NEWPORT BEACH, CA 92660-3108
(949) 724-1800
(949) 724-1811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC26382
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A70967
CA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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