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DESERT SPINE SURGEONS PC NPI 1174701643


NPI Information

NPI: 1174701643
Provider Name: DESERT SPINE SURGEONS, PC
Classification: Orthopaedic Surgery - 207XS0117X
Entity Type: Organization

Specialization: Orthopaedic Surgery of the Spine

Address:
12361 W BOLA DR
SUITE 100
SURPRISE, AZ
ZIP 85378
Phone: (623) 584-5626
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DESERT SPINE SURGEONS, PC is an orthopaedic surgery of the spine orthopaedic surgery in Surprise, 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. DESERT SPINE SURGEONS, PC NPI is 1174701643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12361 W BOLA DR
SUITE 100
SURPRISE, AZ
ZIP 85378-021
Phone: (623) 584-5626
Fax: (623) 544-9122

The provider's authorized official is Robert C. Waldrip .
The authorized official title is Physician and has the following contact phone number (623) 584-5626.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 3/15/2012.


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

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