Organization
PHOENIX SPINE CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MARK LIEBERMAN MD (PRESIDENT)
(602) 385-0420
Entity
Organization
Contact information
Practice address
2525 E ARIZONA BILTMORE CIR STE D142, PHOENIX, AZ 85016-2147
(602) 256-2525
(602) 256-0795
Mailing address
2525 E ARIZONA BILTMORE CIR STE D142, PHOENIX, AZ 85016-2147
(602) 256-2525
(602) 256-0795
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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