Organization
ADVANCED SPINE AND PAIN SURGERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARRET LEATHEM (OWNER)
(480) 573-0210
Entity
Organization
Contact information
Practice address
3525 N CENTRAL AVE, PHOENIX, AZ 85012-2101
(480) 573-0210
(480) 573-0211
Mailing address
2525 W GREENWAY RD STE 125, PHOENIX, AZ 85023-4226
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2020
Last updated
12/15/2020
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