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Organization
SPINE & NERVE DIAGNOSTIC CENTER
Active
Organization
SPINE & NERVE DIAGNOSTIC CENTER
Active
Parent organization
SPINE & NERVE DIAGNOSTIC CENTER
Other names
Spine & Nerve Diagnostic Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPINE & NERVE DIAGNOSTIC CENTER
Authorized official
VINAY MOOLA REDDY (PRESIDENT AND CEO)
(916) 772-5325
Entity
Organization
Contact information
Practice address
635 ANDERSON RD STE 15, DAVIS, CA 95616-3505
(916) 772-5325
(916) 772-6333
Mailing address
1528 EUREKA RD STE 103, ROSEVILLE, CA 95661-3047
(916) 772-5325
(916) 772-6333
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
04/25/2019
Last updated
06/11/2019
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