Organization · NPI-2

Arizona Brain And Spine Trauma PLLC

Neurological Surgery · Phoenix, AZ

NPI number1285925404
StatusActive
Last updated in NPPESJul 7, 2011

Details

NPI
1285925404
Entity type
Organization (NPI-2)
Legal business name
Arizona Brain And Spine Trauma PLLC
Organization subpart
No
Enumeration date
Apr 21, 2011
Last updated
Jul 7, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207T00000X Neurological Surgery44305AZYes

Practice location

9250 N 3rd St
Suite 300
Phoenix, AZ 85020-2437

Phone 602-266-2927 · Fax 602-266-2927

Mailing address

9250 N 3rd St
Suite 300
Phoenix, AZ 85020-2437

Phone 602-266-2927 · Fax 602-266-2927

Authorized official

Igor R. Yusupov
Managing Member
6026637346

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