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Organization
ARIZONA MEDICAL SPINE INSTITUTE
Active
Organization
ARIZONA MEDICAL SPINE INSTITUTE
Active
Other names
Arizona Back Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PRUITT (PRESIDENT)
(480) 503-3344
Entity
Organization
Contact information
Practice address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Mailing address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20012
AZ
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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