Spine Physicians PC
Family Medicine in Phoenix, AZ. Organization (NPI-2).
NPI number1285963389
StatusActive
Last updated in NPPESDec 18, 2009
Details
- NPI
- 1285963389
- Entity type
- Organization (NPI-2)
- Legal business name
- Spine Physicians PC
- Organization subpart
- No
- Enumeration date
- Dec 18, 2009
- Last updated
- Dec 18, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
20940 N Tatum BlvdSuite 350
Phoenix, AZ 85050-4265
Phone 480-503-3344
Mailing address
8912 E Pinnacle Peak RdSuite F9-644
Scottsdale, AZ 85255-3659
Phone 480-503-3344
Authorized official
Randall C Pruitt
Director
4805033344
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