EAST VALLEY SPINE AND SPORTS MEDICINE CENTER PLC NPI 1659402998

NPI Information

EAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC 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. EAST VALLEY SPINE AND SPORTS MEDICINE CENTER, PLC NPI is 1659402998. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tutankhamen Pappoe Md Plc.

The provider's business location address is:

4858 E BASELINE RD
SUITE 107
MESA, AZ
ZIP 85206-638
Phone: (480) 807-6500
Fax: (866) 835-7591

The provider's authorized official is Tutankhamen Allotey Pappoe .
The authorized official title is Owner And Physician and has the following contact phone number (480) 807-6500.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 6/16/2015.

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:

Other Identifiers

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