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Organization
PRISM PAIN AND SPINE, INC
Active
Organization
PRISM PAIN AND SPINE, INC
Active
Other names
Daniel Robert Krauchuk, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL KRAUCHUK D.O. (PRESIDENT)
(661) 665-0505
Entity
Organization
Contact information
Practice address
3838 SAN DIMAS, STE., 3838 SAN DIMAS,STE. B-231, BAKERSFIELD, CA 93301
(661) 665-0505
(661) 665-7844
Mailing address
3838 SAN DIMAS, STE.B-231, BAKERSFIELD, CA 93301
(661) 665-0505
(661) 665-7844
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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