Organization
THE CORE INSTITUTE SPINE CENTER GILBERT
Active
Parent organization
THE CORE INSTITUT E
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CORE INSTITUT E
Authorized official
JOCELYN SIMON (MANAGER, PHYSICIAN SERVICES)
(623) 474-3427
Entity
Organization
Contact information
Practice address
2680 S VAL VISTA DR, BUILDING 9, SUITE 146, GILBERT, AZ 85295-2152
(623) 537-5600
(866) 939-2673
Mailing address
2680 S VAL VISTA DR, BUILDING 9, SUITE 146, GILBERT, AZ 85295-2152
(623) 537-5600
(866) 939-2673
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
341246
—
AZ
Enumeration date
11/20/2012
Last updated
11/27/2012
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