Organization
SAN FRANCISCO SPINE SURGEONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRIY KONDRASHOV MD (CEO)
(415) 750-5845
Entity
Organization
Contact information
Practice address
1 SHRADER ST STE 600, SAN FRANCISCO, CA 94117-1018
(415) 750-5845
(415) 750-8103
Mailing address
1 SHRADER ST STE 600, SAN FRANCISCO, CA 94117-1018
(415) 750-5845
(415) 750-8103
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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