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Organization
ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
Active
Organization
ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRET LEATHEM (OWNER)
(480) 573-0210
Entity
Organization
Contact information
Practice address
3525 N CENTRAL AVE, PHOENIX, AZ 85012-2101
(480) 573-0210
(480) 573-0211
Mailing address
2525 W GREENWAY RD STE 125, PHOENIX, AZ 85023-4226
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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