Spine & Sport Clinic

NPI 1528156072

Information of Spine & Sport Clinic

The NPI 1528156072 is an Organization type. NPI No 1528156072 belongs to Spine & Sport Clinic. Spine & Sport Clinic specializes in Sports Physician. is practising at 72405 Park View Drive, Ste. A, Palm Desert, California 92260. You can also contact him via phone number (760) 340-1958.

Practice address located

  • 72405 Park View Drive, Ste. A
  • Palm Desert, California 92260
  • (760) 340-1958
  • (760) 340-1958

Mailling address located

  • 72405 Park View Drive, Ste. A
  • Palm Desert, California 92260
  • (760) 340-1958
  • (760) 340-2280
NPI No 1528156072
Primary Taxonomy
Authorized Official
Specialty of the provider
PrimaryTaxonomy CodeClassificationLicense NumberLicense State
Yes111NS0005XSports PhysicianDC025209California
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