Organization
ARIZONA MEDICAL SPINE INSTITUTE, PC
Active
Other names
Arizona Back Institue
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL C. PRUITT (PRESIDENT)
(480) 503-3344
Entity
Organization
Contact information
Practice address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Mailing address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
07/21/2022
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