SAINT AGNES SPINE & SPECIALTY SURGERY LLC NPI 1467940916

NPI Information

SAINT AGNES SPINE & SPECIALTY SURGERY, LLC is an ambulatory surgical clinic center in Fresno, CA. SAINT AGNES SPINE & SPECIALTY SURGERY, LLC NPI is 1467940916. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Agnes Spine & Specialty Surgery.

The provider's business location address is:

2365 E FIR AVE
FRESNO, CA
ZIP 93720-016
Phone: (559) 797-9100

The provider's authorized official is Jenetha D Moran .
The authorized official title is Authorized Official and has the following contact phone number (972) 763-3893.

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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