Provider First Line Business Practice Location Address:
1500 E CHEVY CHASE DR STE 401
Provider Second Line Business Practice Location Address:
GLENDALE ADVENTIST MEDICAL CENTER SPINE INSTITUTE
Provider Business Practice Location Address City Name:
GLENDALE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91206-4153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-863-4451
Provider Business Practice Location Address Fax Number:
818-863-4984
Provider Enumeration Date:
11/21/2006