# SPINE PHYSICIANS PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285963389
- **Authorized official:** RANDALL C PRUITT D.C. (DIRECTOR)
- **Authorized official phone:** (480) 503-3344

## Contact information

- **Practice address:** 20940 N TATUM BLVD, SUITE 350, PHOENIX, AZ 85050-4265
- **Practice address phone:** (480) 503-3344
- **Mailing address:** 8912 E PINNACLE PEAK RD, SUITE F9-644, SCOTTSDALE, AZ 85255-3659
- **Mailing address phone:** (480) 503-3344

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/18/2009
- **Last updated:** 12/18/2009