Organization
PACIFIC SPINE AND PAIN CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON SORENSEN M.D. (MEDICAL DIRECTOR)
(559) 713-6515
Entity
Organization
Contact information
Practice address
805 W ACEQUIA AVE STE 1D, VISALIA, CA 93291-6163
(559) 713-6515
Mailing address
805 W ACEQUIA AVE STE 1D, VISALIA, CA 93291-6163
(559) 713-6515
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
A124459
CA
Other
Enumeration date
03/09/2013
Last updated
06/02/2013
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