ADVANCED SPINE AND PAIN LLC

PHOENIX, AZ
NPI1639951577
Entity TypeOrganization
Authorized ContactJARRETT MICHAEL LEATHEM
Owner
860-670-2412
Organization Subpart ?Yes
Primary Taxonomy207LP2900X Anesthesiology, Pain Medicine
Additional Taxonomies208VP0000X Pain Medicine, Pain Medicine
208VP0014X Pain Medicine, Interventional Pain Medicine
Enumeration Date2023-10-16
Last Update Date2023-10-16
Business Address
ADVANCED SPINE AND PAIN LLC
333 W THOMAS RD STE 204
PHOENIX, AZ 85013-4425
Phone number: 480-573-0130
Mailing Address
ADVANCED SPINE AND PAIN LLC
2525 W GREENWAY RD STE 125
PHOENIX, AZ 85023-4226
Phone number: 480-573-0130