Provider Demographics
NPI:1487466512
Name:ARIZONA PRECISION SPINE PLLC
Entity type:Organization
Organization Name:ARIZONA PRECISION SPINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACTED EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-350-3714
Mailing Address - Street 1:77 W FOREST AVE STE 108
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86001-1482
Mailing Address - Country:US
Mailing Address - Phone:928-622-6622
Mailing Address - Fax:928-622-6626
Practice Address - Street 1:77 W FOREST AVE STE 108
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86001-1482
Practice Address - Country:US
Practice Address - Phone:928-622-6622
Practice Address - Fax:928-622-6626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty