Provider Demographics
NPI:1407434160
Name:DESERT SKY SPINE & SPORTS MEDICINE PC
Entity Type:Organization
Organization Name:DESERT SKY SPINE & SPORTS MEDICINE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:COURY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:520-229-2080
Mailing Address - Street 1:1521 E TANGERINE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-6218
Mailing Address - Country:US
Mailing Address - Phone:520-229-2080
Mailing Address - Fax:520-229-2092
Practice Address - Street 1:2530 E WILCOX DR
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-2843
Practice Address - Country:US
Practice Address - Phone:520-229-2080
Practice Address - Fax:520-229-2092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty