Desert Spine And Sports Physicians Pllc

LBN: Desert Spine And Sports Physicians Pllc
Desert Spine And Sports Physicians Pllc is an health care organization with primary practice located at 3700 N 24Th St Ste 210 , Phoenix AZ 85016-6536. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is the primary health care specialty. Desert Spine And Sports Physicians Pllc can be contacted via phone (602) 840-0681, or through Sorosky, Brad Steven via phone (602) 840-0681.

Contact Information

Primary practice address
3700 N 24Th St Ste 210 Phoenix AZ 85016-6536
Phone: (602) 840-0681
Fax: (602) 957-1570
Website:
Map and Directions
Authorized official contact:
Name: Sorosky, Brad Steven Doctor of Medicine (MD)
Phone: (602) 840-0681

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 33710 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 33710 Arizona
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 33710 Arizona

Profile Details

NPI number 1649411778
LBN Legal business name Desert Spine And Sports Physicians Pllc
DBA Doing business as
Authorized official Sorosky, Brad Steven Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2009
Last updated Apr 14th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649411778 NPPES
Arizona MEDICAID 417749

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