Organization
ADVANCED SPINE ENDOSCOPY AND PAIN INSTITUTE
Active
Other names
Sky Spine Endoscopy Institute
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL GONZALEZ (MANAGER)
(240) 367-9601
Entity
Organization
Contact information
Practice address
1003 W 7TH ST STE 503, FREDERICK, MD 21701-8512
(240) 367-9601
(301) 663-5747
Mailing address
1003 W 7TH ST STE 503, FREDERICK, MD 21701-8512
(240) 367-9601
(301) 663-5747
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
D0055038
MD
Other
Enumeration date
01/04/2017
Last updated
09/28/2020
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