# SOUTHWEST SPINE AND SPORTS

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

## Provider details

- **NPI number:** 1689993552
- **Authorized official:** DR. MICHAEL WARREN WOLFF M.D. (PRESIDENT)
- **Authorized official phone:** (480) 860-8998

## Contact information

- **Practice address:** 18275 N 59TH AVE, SUITE F-132, GLENDALE, AZ 85308-1260
- **Practice address phone:** (480) 860-8998
- **Practice address fax:** (480) 377-9245
- **Mailing address:** PO BOX 52001, DEPT 901, PHOENIX, AZ 85072-2001
- **Mailing address phone:** (480) 860-8998
- **Mailing address fax:** (480) 377-9245

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | — |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | — | — | — |

## Other

- **Enumeration date:** 05/18/2010
- **Last updated:** 09/01/2010