Provider Demographics
NPI:1871918698
Name:NORTHERN ARIZONA SPINE AND PAIN CENTER PLLC
Entity type:Organization
Organization Name:NORTHERN ARIZONA SPINE AND PAIN CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNSBERGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-458-7343
Mailing Address - Street 1:1042 WILLOW CREEK RD STE A101
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1672
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:55 S 6TH ST
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AZ
Practice Address - Zip Code:86326-4237
Practice Address - Country:US
Practice Address - Phone:928-634-5118
Practice Address - Fax:928-634-8522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-03
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Single Specialty