Organization
MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER, INC.
Active
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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