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MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER INC. NPI 1629376157


NPI Information

NPI: 1629376157
Provider Name: MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER, INC.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1332 W HERNDON AVE
SUITE 100
FRESNO, CA
ZIP 93711
Phone: (559) 432-1647
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MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER, INC. is an orthopaedic surgery of the spine orthopaedic surgery in Fresno, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. MINIMALLY INVASIVE SPINE SPECIALIST MEDICAL CENTER, INC. NPI is 1629376157. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1332 W HERNDON AVE
SUITE 100
FRESNO, CA
ZIP 93711-118
Phone: (559) 432-1647
Fax: (559) 432-7828

The provider's authorized official is Stephen Allen Smith .
The authorized official title is Ceo and has the following contact phone number (559) 432-1647.

The enumeration date for this NPI number is 3/8/2011 and was last updated on 3/7/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0106XOrthopaedic SurgeryHand SurgeryC32342CALIFORNIANo
2207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineC32342CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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