Organization
ARIZONA MEDICAL SPINE INSTITUTE
Active
Other names
Arizona Back Institute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL PRUITT (PRESIDENT)
(480) 503-3344
Entity
Organization
Contact information
Practice address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Mailing address
4530 E RAY RD, SUITE 150, PHOENIX, AZ 85044-6094
(480) 503-3344
(480) 763-0417
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
20012
AZ
Other
Enumeration date
03/15/2007
Last updated
08/22/2020
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