Organization
MOUNTAIN VIEW HEADACHE AND SPINE INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHIR GUPTA (OWNER)
(917) 443-1263
Entity
Organization
Contact information
Practice address
9159 W THUNDERBIRD RD, PEORIA, AZ 85381-4910
(602) 767-0007
(602) 767-0027
Mailing address
2222 E HIGHLAND AVE STE 110, PHOENIX, AZ 85016-4874
(602) 767-0007
(602) 767-0027
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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