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

Arizona Medical Spine Institute

Organization Pain Medicine (Physical Medicine & Rehabilitation) Physician · NPI 1700910270

Arizona Medical Spine Institute is a Pain Medicine (Physical Medicine & Rehabilitation) Physician in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2007.

Licensed in
AZ
In the registry since
2007

Practice location Address checks out

4530 E Ray Rd Ste 150
Phoenix, AZ 85044-6094
Phone: (480) 503-3344
Fax: (480) 763-0417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) Taxonomy 2081P2900X · Licence 20012 (AZ)

Record details

NPI number1700910270
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randall Pruitt — President · (480) 503-3344
Other names Arizona Back Institute
NPI enumeratedMarch 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4530 E Ray Rd, Suite 150, Phoenix, AZ 85044-6094

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