Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Advanced Spine and Pain LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1639951577

Advanced Spine and Pain LLC is a Pain Medicine (Anesthesiology) Physician in Phoenix, Arizona. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 W Thomas Rd Ste 204
Phoenix, AZ 85013-4425
Phone: (480) 573-0130
Fax: (480) 573-0131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X
Pain Medicine Physician Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1639951577
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationAdvanced Spine and Pain LLC
Authorized official Jarrett Leathem — Owner · (860) 670-2412
NPI enumeratedOctober 16, 2023
Last updated in NPPESOctober 16, 2023
Certification dateOctober 16, 2023
Mailing address2525 W Greenway Rd Ste 125, Phoenix, AZ 85023-4226

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