Organization
ARIZONA SPINE SPECIALIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRANDY K BARROW (CREDENTIALING COORDINATOR)
(214) 396-3936
Entity
Organization
Contact information
Practice address
1635 E MYRTLE AVE STE 400, PHOENIX, AZ 85020-5514
(214) 396-3936
(214) 378-4664
Mailing address
PO BOX 674074, DALLAS, TX 75267-4074
(214) 396-3936
(214) 378-4664
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
10/05/2015
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