Organization
ARIZONA BRAIN AND SPINE CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IGOR RICHARD YUSUPOV MD (MANAGING MEMBER)
(602) 663-7346
Entity
Organization
Contact information
Practice address
11000 N SCOTTSDALE RD STE 240, SCOTTSDALE, AZ 85254-5111
(602) 266-2272
(602) 266-2927
Mailing address
11000 N SCOTTSDALE RD STE 240, SCOTTSDALE, AZ 85254-5111
(602) 266-2272
(602) 266-2927
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
605865
—
AZ
Enumeration date
02/16/2011
Last updated
02/20/2025
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