Organization
VALLEY SPINAL CARE PAIN RELIEF, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON KULP (MEMBER)
(602) 282-3816
Entity
Organization
Contact information
Practice address
15425 N GREENWAY HAYDEN LOOP STE A200, SCOTTSDALE, AZ 85260-1239
(602) 282-3816
Mailing address
8715 W UNION HILLS DR STE 109, PEORIA, AZ 85382-3031
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/20/2020
Last updated
10/20/2020
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