OrganizationActive
Advanced Spine and Pain LLC
NPI 1639951577 · Pain Medicine (Anesthesiology) Physician · Phoenix, AZ
Provider details
- NPI number
- 1639951577
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Advanced Spine and Pain LLC
- Organization subpart
- Yes
- Authorized official
- Jarrett Leathem, Owner(860) 670-2412
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine Physician208VP0000X
Allopathic & Osteopathic Physicians
- Interventional Pain Medicine Physician208VP0014X
Allopathic & Osteopathic Physicians
Practice location
333 W Thomas Rd Ste 204
Phoenix, AZ 85013-4425
Phone: (480) 573-0130
Fax: (480) 573-0131
Approximate (ZIP-level) locationGet directions
Mailing address
2525 W Greenway Rd Ste 125
Phoenix, AZ 85023-4226
Registry dates
- Enumerated
- 2023-10-16
- Last updated
- 2023-10-16
- Certified
- 2023-10-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.