Organization
SONORAN SPINE CENTER P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN DYLO (ADMINISTRATOR)
(480) 962-0071
Entity
Organization
Contact information
Practice address
1255 W RIO SALADO PKWY STE 105, TEMPE, AZ 85281-2892
(602) 443-6480
(602) 443-6499
Mailing address
1255 W RIO SALADO PKWY STE 107, TEMPE, AZ 85281-2892
(480) 962-0071
(480) 962-0590
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
05/03/2006
Last updated
06/15/2021
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