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1104069145
SPINECARE OF PHOENIX LLC
GLENDALE, AZ
NPI
1104069145
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Entity Type
Organization
Authorized Contact
CARL R. NOBACK
Owner
941-360-1566
Organization Subpart ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date
2009-04-07
Last Update Date
2009-04-07
Business Address
SPINECARE OF PHOENIX LLC
16222 N 59TH AVE STE A-100
GLENDALE, AZ 85306-1701
Phone number: 941-360-1566
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Mailing Address
SPINECARE OF PHOENIX LLC
PO BOX 864483
ORLANDO, FL 32886-4483
Phone number:
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