# PRISM PAIN AND SPINE, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Daniel Robert Krauchuk, D.O.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689140741
- **Authorized official:** DR. DANIEL KRAUCHUK D.O. (PRESIDENT)
- **Authorized official phone:** (661) 665-0505

## Contact information

- **Practice address:** 3838 SAN DIMAS, STE., 3838 SAN DIMAS,STE. B-231, BAKERSFIELD, CA 93301
- **Practice address phone:** (661) 665-0505
- **Practice address fax:** (661) 665-7844
- **Mailing address:** 3838 SAN DIMAS, STE.B-231, BAKERSFIELD, CA 93301
- **Mailing address phone:** (661) 665-0505
- **Mailing address fax:** (661) 665-7844

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2018
- **Last updated:** 10/16/2018