Organization
SOUTHWEST SPINE AND SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL W WOLFF M.D. (PRESIDENT)
(480) 860-8998
Entity
Organization
Contact information
Practice address
1025 E BROADWAY RD, SUITE 201, TEMPE, AZ 85282-1599
(480) 860-8998
(480) 377-9245
Mailing address
PO BOX 52001, DEPT 901, PHOENIX, AZ 85072-2001
(480) 860-8998
(480) 377-9245
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/31/2009
Last updated
03/17/2010
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