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Organization
ARIZONA MEDICAL SPINE INSTITUTE, PC
Active
Organization
ARIZONA MEDICAL SPINE INSTITUTE, PC
Active
Other names
Arizona Back Institue
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL C. PRUITT (PRESIDENT)
(480) 503-3344
Entity
Organization
Contact information
Practice address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Mailing address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
07/21/2022
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