Organization · NPI-2
Arizona Neurosurgery And Spine Specialists, PC
Neurological Surgery · Phoenix, AZ
NPI number1083801054
StatusActive
Last updated in NPPESJul 9, 2009
Details
- NPI
- 1083801054
- Entity type
- Organization (NPI-2)
- Legal business name
- Arizona Neurosurgery And Spine Specialists, PC
- Organization subpart
- No
- Enumeration date
- Oct 3, 2007
- Last updated
- Jul 9, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207T00000X | Neurological Surgery | – | – | Yes |
Practice location
1331 N 7th St275
Phoenix, AZ 85006-2754
Phone 602-254-3151
Mailing address
1331 N 7th St275
Phoenix, AZ 85006-2754
Phone 602-254-3151
Authorized official
Byron H Willis
President
6022543151
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