Organization
ARIZONA BRAIN AND SPINE TRAUMA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR R. YUSUPOV MD (MANAGING MEMBER)
(602) 663-7346
Entity
Organization
Contact information
Practice address
9250 N 3RD ST, SUITE 300, PHOENIX, AZ 85020-2437
(602) 266-2927
(602) 266-2927
Mailing address
9250 N 3RD ST, SUITE 300, PHOENIX, AZ 85020-2437
(602) 266-2927
(602) 266-2927
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
44305
AZ
Other
Enumeration date
04/21/2011
Last updated
07/07/2011
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