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

Sun Valley Spine and Orthopedics, PLLC

Organization Orthopaedic Surgery of the Spine Physician · NPI 1619649258

Sun Valley Spine and Orthopedics, PLLC is an Orthopaedic Surgery of the Spine Physician in Phoenix, Arizona. Works from 3 locations. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1440 E Missouri Ave Ste C102
Phoenix, AZ 85014-2459
Phone: (480) 877-1497
Fax: (480) 582-0366
Show map & directions

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

Additional practice locations (2)

  • 6442 E Speedway Blvd Ste 102, Tucson, AZ 85710-0012 — (480) 877-1497
  • 1763 W 24th St Ste 105, Yuma, AZ 85364-6219 — (480) 877-1497

Specialties & licences

Orthopaedic Surgery of the Spine Physician (primary) Taxonomy 207XS0117X

Record details

NPI number1619649258
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seth Jacknowitz — Cro · (469) 459-9754
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 18, 2023
Certification dateSeptember 27, 2023
Mailing address4400 State Highway 121 Ste 405, Lewisville, TX 75056-4561

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