SOUTHWEST PAIN & SPINE CENTER LLC NPI 1811369358

NPI Information

SOUTHWEST PAIN & SPINE CENTER LLC is a specialist in Queen Creek, AZ. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOUTHWEST PAIN & SPINE CENTER LLC NPI is 1811369358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

21321 E OCOTILLO RD
SUITE M131
QUEEN CREEK, AZ
ZIP 85142-996
Phone: (480) 636-1225
Fax: (480) 636-8890

The provider's authorized official is Kevin M Henry .
The authorized official title is Partner and has the following contact phone number (480) 636-1225.

The enumeration date for this NPI number is 10/23/2015 and was last updated on 10/23/2015.

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:

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