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Organization
SPINE PHYSICIANS PC
Active
Organization
SPINE PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL C PRUITT D.C. (DIRECTOR)
(480) 503-3344
Entity
Organization
Contact information
Practice address
20940 N TATUM BLVD, SUITE 350, PHOENIX, AZ 85050-4265
(480) 503-3344
Mailing address
8912 E PINNACLE PEAK RD, SUITE F9-644, SCOTTSDALE, AZ 85255-3659
(480) 503-3344
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/18/2009
Last updated
12/18/2009
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