Organization
MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ALLEN SMITH M.D. (CEO)
(559) 432-1647
Entity
Organization
Contact information
Practice address
1332 W HERNDON AVE, SUITE 100, FRESNO, CA 93711-7118
(559) 432-1647
(559) 432-7828
Mailing address
PO BOX 25729, FRESNO, CA 93729-5729
(559) 432-1647
(559) 432-7828
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
C32342
CA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
C32342
CA
Other
Enumeration date
03/08/2011
Last updated
03/07/2023
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