ARIZONA SPORTS AND SPINE PHYSICIANS P.C. NPI 1194973453

NPI Information

NPI: 1194973453
Provider Name: ARIZONA SPORTS AND SPINE PHYSICIANS, P.C.
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 03D1105944

Address:
3033 W BELL RD # 101A
PHOENIX, AZ
ZIP 85053
Phone: (602) 375-3333
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ARIZONA SPORTS AND SPINE PHYSICIANS, P.C. is a health service clinic center in Phoenix, AZ. ARIZONA SPORTS AND SPINE PHYSICIANS, P.C. NPI is 1194973453. The provider is registered as an organization entity type.

The provider's business location address is:

3033 W BELL RD # 101A
PHOENIX, AZ
ZIP 85053-000
Phone: (602) 375-3333
Fax: (602) 375-0435

The provider's authorized official is John Steven Charochak .
The authorized official title is Medical Director and has the following contact phone number (602) 375-3333.

The CLIA number assigned to this NPI record is 03D1105944 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/28/2008 and was last updated on 8/28/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	2333	ARIZONA	Yes

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

NPI Synchronization or Removal

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