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Organization
US SPINE & SPORT FOUNDATION, INC
Active
Organization
US SPINE & SPORT FOUNDATION, INC
Active
Parent organization
MDRS, INC
Other names
US SPINE & SPORT FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
MDRS, INC
Authorized official
VERT MOONEY MD (MEDICAL DIRECTOR)
(888) 208-8526
Entity
Organization
Contact information
Practice address
3444 KEARNY VILLA RD, 205, SAN DIEGO, CA 92123-1959
(858) 573-9368
(858) 874-0582
Mailing address
3444 KEARNY VILLA RD, 200, SAN DIEGO, CA 92123-1959
(888) 208-8526
(858) 751-0901
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
—
—
1744R1102X
Research Study Specialist
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
209800000X
Legal Medicine (M.D./D.O.) Physician
—
—
Other
Enumeration date
02/20/2007
Last updated
07/12/2007
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