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

Phoenix Spine Goodyear ASC, LLC

Organization Neurological Surgery Physician · NPI 1871667014

Phoenix Spine Goodyear ASC, LLC is a Neurological Surgery Physician in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
Specialties on file
2
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

140 N Litchfield Rd Ste 110
Goodyear, AZ 85338-1277
Phone: (602) 256-2525
Fax: (602) 256-0795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence 28519 (AZ)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 35838 (AZ)

Record details

NPI number1871667014
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eric Boon — Ao · (480) 567-0269
Other names Phoenix Spine Goodyear Asc, Llc
NPI enumeratedNovember 20, 2006
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address140 N Litchfield Rd Ste 110, Goodyear, AZ 85338-1226

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