Organization
INNOVATIVE SPINE SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORTEZA M FARR D.O. (PHYSICIAN)
(831) 713-8879
Entity
Organization
Contact information
Practice address
1575 SOQUEL DR, B, SANTA CRUZ, CA 95065-1700
(831) 464-6900
Mailing address
140 PELTON AVE, SANTA CRUZ, CA 95060-6142
(831) 713-8879
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
020A80782
CA
Other
Enumeration date
07/08/2009
Last updated
07/08/2009
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