Organization
ARIZONA BRAIN AND SPINE TRAUMA PLLC
Active
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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