Organization
PACIFIC SPINE CLINIC INC
Active
Organization
PACIFIC SPINE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURENCE MERCER MCKINLEY MD (OWNER)
(760) 489-2379
Entity
Organization
Contact information
Practice address
355 E GRAND AVE, SUITE 1-2, ESCONDIDO, CA 92025-3313
(760) 489-2379
(760) 489-8106
Mailing address
355 E GRAND AVE, SUITE 1-2, ESCONDIDO, CA 92025-3313
(760) 489-2379
(760) 489-8106
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
A30927
CA
Other
Enumeration date
05/25/2007
Last updated
10/07/2008
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