Prospine, LLC

NPI #1013113976 in Phoenix, Arizona

Provider Information

NPI Number: 1013113976
Entity Type: Organization
Organization Name: Prospine, LLC
Primary Specialty: Point of Service
Enumeration Date: Jun 26, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 1107 E BELL RD
Address 2: SUITE 14
City: Phoenix
State: Arizona
ZIP Code: 85022-2691
Phone: (602) 866-3500

Authorized Official

Name: DR. DYLAN FOSTER, D.C.
Title: OWNER
Phone: (602) 866-3500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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