Organization
LASER SPINE INSTITUTE OF ARIZONA, LLC
Active
Parent organization
LASER SPINE INSTITUTE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LASER SPINE INSTITUTE, LLC
Authorized official
MR. CRAIG NIEBUR (CHIEF FINANCIAL OFFICER)
(813) 289-9613
Entity
Organization
Contact information
Practice address
8888 E RAINTREE DR, SUITE 100, SCOTTSDALE, AZ 85260-3951
(813) 289-9613
(813) 418-4323
Mailing address
8888 E RAINTREE DR, SUITE 100, SCOTTSDALE, AZ 85260-3951
(813) 289-9613
(813) 418-4323
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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