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SONORAN SPINE CENTER P.C. NPI 1013975333


NPI Information

NPI: 1013975333
Provider Name: SONORAN SPINE CENTER P.C.
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

CLIA Number: 03D2101799

Address:
1255 W RIO SALADO PKWY STE 105
TEMPE, AZ
ZIP 85281
Phone: (602) 443-6480
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SONORAN SPINE CENTER P.C. is an orthopaedic surgery of the spine orthopaedic surgery in Tempe, 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. SONORAN SPINE CENTER P.C. NPI is 1013975333. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1255 W RIO SALADO PKWY STE 105
TEMPE, AZ
ZIP 85281-892
Phone: (602) 443-6480
Fax: (602) 443-6499

The provider's authorized official is Susan Dylo .
The authorized official title is Administrator and has the following contact phone number (480) 962-0071.

The CLIA number assigned to this NPI record is 03D2101799 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 6/15/2021.


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:

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.