1609973981 NPI number — SPINE SPECIALISTS OF ARIZONA PC

Table of content: DR. JEFFREY LOUIS CURTIS M.D. (NPI 1578649018)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609973981 NPI number — SPINE SPECIALISTS OF ARIZONA PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPINE SPECIALISTS OF ARIZONA PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609973981
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/08/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1820 W MARYLAND AVE
Provider Second Line Business Mailing Address:
1&2
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85015-1740
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
602-393-2225
Provider Business Mailing Address Fax Number:
602-393-2227

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1820 W MARYLAND AVE
Provider Second Line Business Practice Location Address:
1&2
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85015-1740
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-393-2225
Provider Business Practice Location Address Fax Number:
602-393-2227
Provider Enumeration Date:
09/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ARAGHI
Authorized Official First Name:
ALI
Authorized Official Middle Name:
Authorized Official Title or Position:
PHYSICIAN
Authorized Official Telephone Number:
602-393-2225

Provider Taxonomy Codes

  • Taxonomy code: 207XS0117X , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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