THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY LLC NPI 1801220983

NPI Information

NPI: 1801220983
Provider Name: THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
3135A EAST LINCOLN DRIVE
PHOENIX, AZ
ZIP 85016
Phone: (623) 435-4670
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THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC is an ambulatory surgical clinic center in Phoenix, AZ. THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC NPI is 1801220983. The provider is registered as an organization entity type.

The provider's business location address is:

3135A EAST LINCOLN DRIVE
PHOENIX, AZ
ZIP 85016-317
Phone: (623) 435-4670
Fax: (602) 954-5132

The provider's authorized official is Daniel R Tasset .
The authorized official title is Vice Chair, Nuehealth and has the following contact phone number (913) 387-0510.

The enumeration date for this NPI number is 8/26/2013 and was last updated on 5/20/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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