Organization
SCOLIOSIS AZ CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES R SIEFFERT (OWNER)
(480) 205-9447
Entity
Organization
Contact information
Practice address
3724 N 3RD ST, PHOENIX, AZ 85012-2034
(505) 417-5940
Mailing address
7940 E CAMELBACK RD UNIT 411, SCOTTSDALE, AZ 85251-2699
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
12/23/2019
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