# AZ SPORTS AND SPINE CENTER , LLC

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

## Provider details

- **NPI number:** 1710470802
- **Authorized official:** CHRISTINA L BECKER (DIRECTOR)
- **Authorized official phone:** (602) 481-7369

## Contact information

- **Practice address:** 604 W WARNER RD STE A, CHANDLER, AZ 85225-2900
- **Practice address phone:** (602) 481-7369
- **Mailing address:** 3717 SOUTH HIGLEY ROAD, SUITE 114 PMB 298, GILBERT, AZ 85297
- **Mailing address phone:** (602) 481-7369
- **Mailing address fax:** (480) 527-1586

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2018
- **Last updated:** 09/28/2018