NPI | 1720050859 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES B REYNOLDS Medical Doctor 650-985-7500 |
Organization Subpart ? | No |
Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
Additional Taxonomies | 103T00000X Psychologist |
207LP2900X Anesthesiology Pain Medicine | |
2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
208VP0000X Pain Medicine Pain Medicine | |
Enumeration Date | 2006-02-02 |
Last Update Date | 2018-02-14 |