Organization
M&M INTERVENTIONAL SPINE AND JOINT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SALLU JABATI MD (MEDICAL DIRECTOR)
(678) 559-4526
Entity
Organization
Contact information
Practice address
3130 N ARIZONA AVE STE 112, CHANDLER, AZ 85225-7163
(480) 274-5009
Mailing address
3130 N ARIZONA AVE STE 112, CHANDLER, AZ 85225-7163
(480) 274-5009
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
36200
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
299505
—
AZ
Enumeration date
09/15/2009
Last updated
09/15/2009
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