| NPI | 1235882523 |
|---|---|
| Doing Business As | MINIMALLY INVASIVE SPINE AND ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | REMI M. AJIBOYE CEO 510-828-7906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2022-01-27 |
| Last Update Date | 2024-05-10 |