Organization · Type 2 NPI

Minimally Invasive Spine LLC

Interventional Pain Medicine Physician · Mesa, AZ

NPI number 1770914228 Active

Practice location

4860 E Baseline Rd, Suite 101
Mesa, AZ 85206-4669

Fax (602) 265-8151

Mailing address

1301 E Mcdowell Rd, Suite 100
Phoenix, AZ 85006-2621

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician 208600000X42500 (AZ)
Interventional Pain Medicine Physician Primary 208VP0014X48105 (AZ)
Interventional Pain Medicine Physician 208VP0014X05299 (AZ)

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

4 other providers at this address

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About NPI 1770914228

Minimally Invasive Spine LLC's National Provider Identifier is 1770914228, issued on Dec 10, 2013. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Mesa, AZ. The record was last updated on Mar 1, 2023.