| NPI | 1194222786 |
|---|---|
| Doing Business As | PRIME SPINE AND ORTHOPEDICS |
| Entity Type | Organization |
| Authorized Contact | GARRETT BLACKWELL Member/Manager 480-892-0321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2018-04-10 |