NPI 1013113976

Prospine, LLC

Organisation Point of Service Phoenix, AZ

Practice location

Address: 1107 E Bell Rd Suite 14, Phoenix, AZ 85022-2691
Phone: (602) 866-3500
Fax: (602) 866-3510

Authorised official

Name: Dylan Foster
Title: Owner
Phone: (602) 866-3500

Registered specialties

Point of Service Primary

Managed Care Organizations Taxonomy 305S00000X Licence 5775 (AZ)

Other Point of Service providers in Arizona →

Registry record

NPI: 1013113976
Entity type: Organization
NPI issued: 26 Jun 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.