Organization
NOVASPINE PAIN INSTITUTE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER SPENCER (ADMINISTRATOR)
(623) 777-4747
Entity
Organization
Contact information
Practice address
3645 S ROME ST STE 204, GILBERT, AZ 85297-7338
(480) 771-4400
(623) 777-4748
Mailing address
PO BOX 5068, SUN CITY WEST, AZ 85376-5068
(623) 777-4747
(623) 777-4748
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
42990
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506835
—
AZ
Enumeration date
04/28/2014
Last updated
02/15/2024
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