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Organization
FRESNO SPINE AND SPORT
Active
Organization
FRESNO SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT L. JONES D.C. (PRESIDENT/OWNER)
(559) 440-1811
Entity
Organization
Contact information
Practice address
7413 N. CEDAR AVENUE, SUITE 101, FRESNO, CA 93720
(559) 440-1811
(559) 440-1825
Mailing address
7413 N. CEDAR AVENUE, SUITE 101, FRESNO, CA 93720
(559) 440-1811
(559) 440-1825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC025148
CA
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ62601Z
BLUE SHIELD
CA
Enumeration date
10/16/2007
Last updated
07/29/2014
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