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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MINIMALLY INVASIVE SPINE LLC

Active Organization

MINIMALLY INVASIVE SPINE LLC is a Interventional Vascular Surgery organization located in MESA, Arizona. NPI 1770914228 is currently active in the NPPES registry. Verify at CMS.

Interventional Vascular Surgery · MESA, AZ

Registration Details

NPI Number
1770914228
Provider Type
Organization
NPI Issued
Dec 10, 2013 (12.677369495218 yrs)
Last Updated
Mar 1, 2023
Licenses
42500 (AZ)
05299 (AZ)
48105 (AZ)

Practice Information

Address
4860 E BASELINE RD
SUITE 101
MESA, AZ, 852064669
Browse AZ providers · Browse ZIP 85206
Phone
6022658800
Fax
6022658151
Primary Specialty
Interventional Vascular Surgery
208VP0014X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.