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SUN VALLEY SPINE AND ORTHOPEDICS PLLC NPI 1619649258


NPI Information

NPI: 1619649258
Provider Name: SUN VALLEY SPINE AND ORTHOPEDICS, PLLC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
1440 E MISSOURI AVE STE C102
PHOENIX, AZ
ZIP 85014
Phone: (480) 877-1497
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SUN VALLEY SPINE AND ORTHOPEDICS, PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Phoenix, AZ. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. SUN VALLEY SPINE AND ORTHOPEDICS, PLLC NPI is 1619649258. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1440 E MISSOURI AVE STE C102
PHOENIX, AZ
ZIP 85014-459
Phone: (480) 877-1497
Fax: (480) 582-0366

The provider's authorized official is Seth Jacknowitz .
The authorized official title is Cro and has the following contact phone number (469) 459-9754.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/18/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the SpineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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