Organization
MINIMALLY INVASIVE SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES T ADKINS (CEO/PRESIDENT)
(602) 265-8800
Entity
Organization
Contact information
Practice address
4860 E BASELINE RD, SUITE 101, MESA, AZ 85206-4669
(602) 265-8800
(602) 265-8151
Mailing address
1301 E MCDOWELL RD, SUITE 100, PHOENIX, AZ 85006-2621
(602) 265-8800
(602) 265-8151
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
42500
AZ
208VP0014X
Interventional Pain Medicine Physician
05299
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
48105
AZ
Other
Enumeration date
12/10/2013
Last updated
03/01/2023
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