Provider Demographics
NPI:1316723620
Name:TEMPE JOINT AND SPINE
Entity type:Organization
Organization Name:TEMPE JOINT AND SPINE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DABBAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-597-4321
Mailing Address - Street 1:2919 S ELLSWORTH RD STE 109
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85212-2165
Mailing Address - Country:US
Mailing Address - Phone:480-597-4321
Mailing Address - Fax:883-559-0886
Practice Address - Street 1:1001 E WARNER RD STE 103
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3224
Practice Address - Country:US
Practice Address - Phone:480-597-4321
Practice Address - Fax:883-559-0886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-01
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty