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PIONEER SPORTS AND SPINE PLLC NPI 1730505017


NPI Information

NPI: 1730505017
Provider Name: PIONEER SPORTS AND SPINE PLLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
5652 E BASELINE RD
MESA, AZ
ZIP 85206
Phone: (480) 249-5525
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PIONEER SPORTS AND SPINE PLLC 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. PIONEER SPORTS AND SPINE PLLC NPI is 1730505017. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5652 E BASELINE RD
MESA, AZ
ZIP 85206-713
Phone: (480) 249-5525
Fax: (480) 718-8201

The provider's authorized official is Derek C Higgins .
The authorized official title is President and has the following contact phone number (480) 249-5525.

The enumeration date for this NPI number is 3/11/2014 and was last updated on 3/11/2014.


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
12081P2900XPhysical Medicine & RehabilitationPain MedicineARIZONAYes

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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