Organization
REPUBLIC BRAIN SPINE AND ORTHOPEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SETH JACKNOWITZ (CRO)
(561) 699-7479
Entity
Organization
Contact information
Practice address
2291 PACHECO ST, CONCORD, CA 94520-2015
(925) 397-9480
Mailing address
4400 STATE HIGHWAY 121 STE 405, LEWISVILLE, TX 75056-4952
(469) 817-9611
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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