Organization
JOHN VINCENT SPINE ASSOCIATES INC
Active
Organization
JOHN VINCENT SPINE ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM M COSTIGAN MD (MANAGING PHYSCIAN)
(626) 795-8051
Entity
Organization
Contact information
Practice address
800 S RAYMOND AVE, PASADENA, CA 91105-3229
(626) 795-8051
(626) 795-7374
Mailing address
PO BOX 90730, PASADENA, CA 91109-0730
(626) 795-8051
(626) 795-7374
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
03/10/2008
Last updated
02/04/2010
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