Organization
PACIFIC SPINE & JOINT MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOSHE MILLER LEWIS MD (VICE PRESIDENT)
(415) 377-7368
Entity
Organization
Contact information
Practice address
1618 SULLIVAN AVE, SUITE #208, DALY CITY, CA 94015-1967
(650) 994-4444
(650) 994-3051
Mailing address
1618 SULLIVAN AVE, SUITE #208, DALY CITY, CA 94015-1967
(650) 994-4444
(650) 994-3051
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
A90204
CA
Other
Enumeration date
02/07/2012
Last updated
04/10/2012
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