| NPI | 1700910270 |
|---|---|
| Doing Business As | ARIZONA BACK INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | RANDALL PRUITT President 480-503-3344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: AZ 20012) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |