Organization
REDLANDS SPINE AND SPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL S DONIA DC (DOCTOR/PRESIDENT)
(909) 793-2225
Entity
Organization
Contact information
Practice address
219 E OLIVE AVE, REDLANDS, CA 92373-5251
(909) 793-2225
Mailing address
219 E OLIVE AVE, REDLANDS, CA 92373-5251
(909) 793-2225
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
DC-28061
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BP542A
MEDICARE PTAN
CA
Enumeration date
12/20/2011
Last updated
12/20/2011
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