Organization
ARIZONA BRAIN AND SPINE CENTER PLLC
Active
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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