East Valley Spine And Sports Medicine Center, Plc in Mesa - Pain Medicine
East Valley Spine And Sports Medicine Center, Plc - NPI 1659402998
East Valley Spine And Sports Medicine Center, Plc is a Pain Medicine in Mesa, Arizona. East Valley Spine And Sports Medicine Center, Plc practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for East Valley Spine And Sports Medicine Center, Plc is 1659402998. The last update date is 2015-06-16.
East Valley Spine And Sports Medicine Center, Plc's current location address is 4858 E Baseline Rd Ste 107, Mesa, Arizona. You can contact this provider via phone number 4808076500 and fax number 8668357591. The mailing address for East Valley Spine And Sports Medicine Center, Plc is 4858 E Baseline Rd Ste 107, Mesa, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | East Valley Spine And Sports Medicine Center, Plc |
|---|---|
| Address | 4858 E Baseline Rd Ste 107, Mesa, Arizona |
| Phone Number | 4808076500 |
| Fax Number | 8668357591 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER AND |
|---|---|
| Authorized Official Name | Pappoe Allotey Tutankhamen |
| Credentials | M.D. |
| Telephone Number | 4808076500 |
NPI Number Detail
| NPI Number | 1659402998 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2015-06-16 |
Provider Mailing Address Detail
| Address | 4858 E Baseline Rd Ste 107 |
|---|---|
| City | Mesa |
| State | Arizona (AZ) |
| Post Code | 852064638 |
| Phone Number | 4808076500 |
| Fax Number | 8668357591 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 2081P2900X |
| Licence No | 33084 |
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Definition: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated wit |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 873671 | AZ | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to East Valley Spine And Sports Medicine Center, Plc by the Centers for Medicare & Medicaid Services?
The East Valley Spine And Sports Medicine Center, Plc has been assigned the NPI (National Provider Identifier) 1659402998 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where East Valley Spine And Sports Medicine Center, Plc's facilities are geographically located?
The facilities of East Valley Spine And Sports Medicine Center, Plc are physically situated at the following location: 4858 E Baseline Rd Ste 107, Mesa, AZ, 852064638.
What is the area of specialization for East Valley Spine And Sports Medicine Center, Plc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for East Valley Spine And Sports Medicine Center, Plc is Pain Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 2081P2900X.
On what date did the East Valley Spine And Sports Medicine Center, Plc receive the assignment of its 1659402998 from the Centers for Medicare & Medicaid Services?
The East Valley Spine And Sports Medicine Center, Plc was issued its 1659402998 by the Centers for Medicare & Medicaid Services on 2007-03-08.
When was the information regarding East Valley Spine And Sports Medicine Center, Plc most recently updated?
The details pertaining to the East Valley Spine And Sports Medicine Center, Plc, including its address, specialty, and other relevant information, were last refreshed on 2015-06-16.