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Organization
PHOENIX SPINE GOODYEAR ASC, LLC
Active
Organization
PHOENIX SPINE GOODYEAR ASC, LLC
Active
Other names
Phoenix Spine Surgery Center, Arizona Center for Neurosurgery LTD
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOON (MARKET PRESIDENT)
(480) 567-0269
Entity
Organization
Contact information
Practice address
140 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85338-1226
(602) 533-2160
(602) 256-0795
Mailing address
140 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85338-1226
(602) 533-2160
(602) 532-7825
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC7127
AZ
Other
Enumeration date
06/02/2015
Last updated
09/22/2025
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