Organization
S.M.A.R.T. SPINE INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON ANDERSON (OFFICE MANAGER)
(626) 445-0326
Entity
Organization
Contact information
Practice address
131 E HUNTINGTON DR, ARCADIA, CA 91006-3212
(626) 445-0326
(626) 445-5155
Mailing address
131 E HUNTINGTON DR, ARCADIA, CA 91006-3212
(626) 445-0326
(626) 445-5155
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104857846
NPI, OTHER ADDRESS
CA
Enumeration date
09/18/2015
Last updated
09/18/2015
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