| NPI | 1992119986 |
|---|---|
| Doing Business As | AZ SPINE DISC AND SPORT |
| Entity Type | Organization |
| Authorized Contact | ERIC C BREURE Owner 480-759-1668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: AZ 47952) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2021-01-30 |