# PHOENIX SPINE GOODYEAR ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Phoenix Spine Surgery Center, Arizona Center for Neurosurgery LTD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891175188
- **Authorized official:** ERIC BOON (MARKET PRESIDENT)
- **Authorized official phone:** (480) 567-0269

## Contact information

- **Practice address:** 140 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85338-1226
- **Practice address phone:** (602) 533-2160
- **Practice address fax:** (602) 256-0795
- **Mailing address:** 140 N LITCHFIELD RD STE 110, GOODYEAR, AZ 85338-1226
- **Mailing address phone:** (602) 533-2160
- **Mailing address fax:** (602) 532-7825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC7127 | AZ | Yes |

## Other

- **Enumeration date:** 06/02/2015
- **Last updated:** 09/22/2025