Organization
ARIZONA NEUROSURGERY AND SPINE SPECIALISTS, PC
Active
Organization
ARIZONA NEUROSURGERY AND SPINE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BYRON H WILLIS M.D. (PRESIDENT)
(602) 254-3151
Entity
Organization
Contact information
Practice address
1331 N 7TH ST, 275, PHOENIX, AZ 85006-2754
(602) 254-3151
Mailing address
1331 N 7TH ST, 275, PHOENIX, AZ 85006-2754
(602) 254-3151
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z118552
MEDICARE PTAN:
AZ
Enumeration date
10/03/2007
Last updated
07/09/2009
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