Provider Demographics
NPI:1831793611
Name:CAMELBACK SPINE CARE PLLC
Entity type:Organization
Organization Name:CAMELBACK SPINE CARE PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:HARVINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEDI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-714-6970
Mailing Address - Street 1:3815 E BELL RD STE 2700
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-2155
Mailing Address - Country:US
Mailing Address - Phone:602-714-6970
Mailing Address - Fax:602-714-5176
Practice Address - Street 1:13760 N 93RD AVE STE 203
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85381-4200
Practice Address - Country:US
Practice Address - Phone:602-714-6970
Practice Address - Fax:602-714-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-23
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the SpineGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty