Organization · Type 2 NPI

Prospine, LLC

Point of Service · Phoenix, AZ

NPI number 1013113976 Active

Practice location

1107 E Bell Rd, Suite 14
Phoenix, AZ 85022-2691

Call (602) 866-3500 Map

Fax (602) 866-3510

Specialties and licenses

TaxonomyCodeLicense
Point of Service Primary 305S00000X5775 (AZ)

Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

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About NPI 1013113976

Prospine, LLC's National Provider Identifier is 1013113976, issued on Jun 26, 2007. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 22, 2020.