ADVANCED SPINE AND PAIN LLC NPI 1629679923

NPI Information

ADVANCED SPINE AND PAIN LLC is a pain medicine physical medicine rehabilitation in Mesa, AZ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. ADVANCED SPINE AND PAIN LLC NPI is 1629679923. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4566 E INVERNESS AVE STE 205
MESA, AZ
ZIP 85206-634
Phone: (480) 640-0513

The provider's authorized official is Jarrett Michael Leathem .
The authorized official title is Md, Owner and has the following contact phone number (860) 670-2412.

The enumeration date for this NPI number is 11/3/2020 and was last updated on 1/20/2021.

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:

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