Organization
ANTHEM SPINAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DYKHUIZEN (OWNER)
(623) 399-9970
Entity
Organization
Contact information
Practice address
42212 N 41ST DR, SUITE 102, PHOENIX, AZ 85086-3815
(623) 399-9970
(623) 399-9974
Mailing address
42212 N 41ST DR, SUITE 102, PHOENIX, AZ 85086-3815
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7634
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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