# THE MINIMALLY INVASIVE SPINE SURGERY CENTER OF PARADISE VALLEY, LLC

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

## Provider details

- **NPI number:** 1801220983
- **Authorized official:** JOHN VANDERHOOF (OWNER/ AUTHORIZED OFFICIAL)
- **Authorized official phone:** (480) 800-8642

## Contact information

- **Practice address:** 3135A EAST LINCOLN DRIVE, PHOENIX, AZ 85016-2317
- **Practice address phone:** (623) 435-4670
- **Practice address fax:** (602) 954-5132
- **Mailing address:** 3135A EAST LINCOLN DRIVE, PHOENIX, AZ 85016-2317
- **Mailing address phone:** (623) 435-4670
- **Mailing address fax:** (602) 954-5132

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2013
- **Last updated:** 04/15/2025