| Organization Name: | BRAIN AND SPINE CENTER OF ARIZONA PLC |
| NPI Number: | 1013372812 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEMANT PANDEY (OWNER) |
| Mailing Address: | 655 S Dobson Rd Ste 103 Chandler |
| State: | AZ US |
| Postal Code: | 852245668 |
| Phone Number: | 4809173706 |
| Fax Number: | 4803532066 |
| NPI Enumeration Date: | 12/21/2015 |
| NPI Last Update Date: | 12/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 42025 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |