Organization · Type 2 NPI

East Valley Spine and Sports Medicine Center, PLC

Pain Medicine (Physical Medicine & Rehabilitation) Physician · Mesa, AZ

NPI number 1659402998 Active

Practice location

4858 E Baseline Rd, Suite 107
Mesa, AZ 85206-4638

Call (480) 807-6500 Map

Fax (866) 835-7591

Mailing address

4858 E Baseline Rd Ste 107
Mesa, AZ 85206-4638

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081P2900X33084 (AZ)
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X33084 (AZ)

Pain Medicine (Physical Medicine & Rehabilitation) Physician: 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 with other specialists.

3 other providers at this address

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About NPI 1659402998

East Valley Spine and Sports Medicine Center, PLC's National Provider Identifier is 1659402998, issued on Mar 8, 2007. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Mesa, AZ. The record was last updated on Jun 16, 2015.