# SCOLIOSIS AZ CENTERS LLC

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

## Provider details

- **NPI number:** 1962041988
- **Authorized official:** JAMES R SIEFFERT (OWNER)
- **Authorized official phone:** (480) 205-9447

## Contact information

- **Practice address:** 3724 N 3RD ST, PHOENIX, AZ 85012-2034
- **Practice address phone:** (505) 417-5940
- **Mailing address:** 7940 E CAMELBACK RD UNIT 411, SCOTTSDALE, AZ 85251-2699

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/23/2019
- **Last updated:** 12/23/2019