| Spine Physicians PC | |
|
20940 N Tatum Blvd Suite 350 Phoenix AZ 85050-4265 | |
| (480) 503-3344 | |
| Not Available |
| Full Name | Spine Physicians PC |
|---|---|
| Speciality | Family Medicine |
| Location | 20940 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Randall C Pruitt (DIRECTOR) |
| Authorized Official Contact | 4805033344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spine Physicians PC 8912 E Pinnacle Peak Rd Suite F9-644 Scottsdale AZ 85255-3659 Ph: (480) 503-3344 | Spine Physicians PC 20940 N Tatum Blvd Suite 350 Phoenix AZ 85050-4265 Ph: (480) 503-3344 |
| NPI Number | 1285963389 |
|---|---|
| Provider Enumeration Date | 12/18/2009 |
| Last Update Date | 12/18/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285963389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
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