# NOVASPINE PAIN INSTITUTE, PLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NOVASPINE PAIN INSTITUTE, PLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1386409746
- **Legal business name:** NOVASPINE PAIN INSTITUTE, PLC
- **Authorized official:** HEATHER SPENCER (ADMINISTRATOR)
- **Authorized official phone:** (623) 777-4747

## Contact information

- **Practice address:** 13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
- **Practice address phone:** (623) 777-4747
- **Mailing address:** PO BOX 5068, SUN CITY WEST, AZ 85376-5068
- **Mailing address phone:** (623) 777-4747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/15/2024
- **Last updated:** 02/15/2024
