Healthcare Provider Details

I. General information

NPI: 1245286814
Provider Name (Legal Business Name): DESERT INSITUTE FOR SPINE DISORDERS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8573 E PRINCESS DR SUITE 221
SCOTTSDALE AZ
85255-7819
US

IV. Provider business mailing address

8573 E PRINCESS DR SUITE 221
SCOTTSDALE AZ
85255-7819
US

V. Phone/Fax

Practice location:
  • Phone: 480-656-4048
  • Fax: 480-247-6146
Mailing address:
  • Phone: 480-656-4048
  • Fax: 480-247-6146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XS0117X
TaxonomyOrthopaedic Surgery of the Spine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DUANE DH PITT
Title or Position: PRESIDENT
Credential: M.D.
Phone: 480-656-4048