Organization · NPI-2

Advanced Spine And Pain LLC

Pain Medicine, Interventional Pain Medicine · Phoenix, AZ

NPI number1356950653
StatusActive
Last updated in NPPESJul 9, 2025

Details

NPI
1356950653
Entity type
Organization (NPI-2)
Legal business name
Advanced Spine And Pain LLC
Organization subpart
No
Enumeration date
Jul 23, 2020
Certification date
Jul 9, 2025
Last updated
Jul 9, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes
111N00000X Chiropractor––
207LP2900X Anesthesiology, Pain Medicine––
207T00000X Neurological Surgery––
207X00000X Orthopaedic Surgery––
208100000X Physical Medicine & Rehabilitation––
2085R0202X Radiology, Diagnostic Radiology––
225100000X Physical Therapist––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226

Phone 480-640-0513

Mailing address

2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226

Phone 480-640-0513

Other practice locations

3655 W Anthem Way # 129
Anthem, AZ 85086-0430

Phone 480-573-0130 · Fax 480-573-0131

2525 W Greenway Rd Ste 240
Phoenix, AZ 85023-4281

Phone 480-573-0130 · Fax 480-573-0131

22719 S Ellsworth Rd Ste 1010
Queen Creek, AZ 85142-6128

Phone 480-573-0130 · Fax 480-573-0131

2820 N Glassford Hill Rd
Prescott Valley, AZ 86314-1242

Phone 480-573-0130 · Fax 480-573-0131

Authorized official

Abram Burgher
MD, Owner
4806400513

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