# PHOENIX SPINE AND JOINT GILBERT ASC, LLC

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

## Provider details

- **NPI number:** 1306435086
- **Authorized official:** DR. DANIEL LIEBERMAN MD (CEO)
- **Authorized official phone:** (602) 256-2525

## Contact information

- **Practice address:** 1760 E PECOS RD STE 128, GILBERT, AZ 85295-3206
- **Practice address phone:** (602) 256-2525
- **Practice address fax:** (602) 256-0795
- **Mailing address:** 2525 E ARIZONA BILTMORE CIR STE D142, PHOENIX, AZ 85016-2147
- **Mailing address phone:** (602) 256-2525
- **Mailing address fax:** (602) 256-0795

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/15/2021
- **Last updated:** 01/06/2022