Organization
SF SPINE GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIY KONDRASHOV MD (MEDICAL DIRECTOR)
(415) 750-5847
Entity
Organization
Contact information
Practice address
1 SHRADER ST, STE 450, SAN FRANCISCO, CA 94117-1016
(415) 750-5847
Mailing address
1 SHRADER ST, STE 450, SAN FRANCISCO, CA 94117-1016
(415) 750-5847
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A92439
CA
Other
Enumeration date
09/26/2014
Last updated
09/15/2015
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