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Organization
NOVASPINE PAIN INSTITUTE, PLC
Active
Organization
NOVASPINE PAIN INSTITUTE, PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLIFFORD T BAKER M.D. (OWNER)
(623) 777-4747
Entity
Organization
Contact information
Practice address
14300 W GRANITE VALLEY DR STE A1, SUN CITY WEST, AZ 85375-5797
(623) 777-4747
(623) 777-4748
Mailing address
PO BOX 5068, SUN CITY WEST, AZ 85376-5068
(623) 777-4747
(623) 777-4748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
42990
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
42990
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
42990
AZ
208VP0000X
Pain Medicine Physician
Primary
42990
AZ
208VP0014X
Interventional Pain Medicine Physician
42990
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
42990
AZ
Other
Enumeration date
02/10/2014
Last updated
02/19/2024
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