Sonoran Spine Center

Business Name
Physician First Name
Dennis
Physician Middle Initial
G.
Physician Last Name
Crandall
Practice Name
Specialty

Orthopedic Surgery

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
11/14/1994
Business Name
Physician First Name
Daniela
Physician Last Name
Pal
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
4/7/2008
Business Name
Physician First Name
Albert
Physician Middle Initial
J.
Physician Last Name
Bednar
Practice Name
Specialty

Physical Therapy

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
3/3/2008
Business Name
Physician First Name
Terrence
Physician Middle Initial
Tevon
Physician Last Name
Crowder
Practice Name
Specialty

Orthopedic Surgery

Office Designation
Primary
Address
2557 S Val Vista Drive
85295
Suite
Suite 103
City
Gilbert
State
AZ
County
Maricopa
Business Phone Number
(480)939-2000
Business Website Address
Business Fax
(480)939-2020
ASPA Effective Date
7/6/2009
Business Name
Physician First Name
Michael
Physician Last Name
Chang
Practice Name
Specialty

Orthopedic Surgery

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
11/2/2009
Business Name
Physician First Name
Jason
Physician Last Name
Datta
Practice Name
Specialty

Orthopedic Surgery

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
6/7/2010
Business Name
Physician First Name
Keikhosrow
Physician Last Name
Mosallaie
Practice Name
Specialty

Physical Medicine & Rehabilitation

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
12/6/2010
Business Name
Physician First Name
Mara
Physician Last Name
Immediato
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
1255 W Rio Salado Pkwy
85281
Suite
Suite 107
City
Tempe
State
AZ
County
Maricopa
Business Phone Number
(480)962-0071
Business Website Address
Business Fax
(480)962-0590
ASPA Effective Date
8/5/2013
Business Name
Physician First Name
Lyle
Physician Last Name
Young
Practice Name
Specialty

Orthopedic Surgery

Office Designation
Primary
Address
2557 S Val Vista Drive
85295
Suite
Suite 103
City
Gilbert
State
AZ
County
Maricopa
Business Phone Number
(480)939-2000
Business Website Address
Business Fax
(480)939-2020
ASPA Effective Date
9/9/2013
Business Name
Physician First Name
Katherine
Physician Last Name
Looby
Practice Name
Specialty

Physician Assistant

Office Designation
Primary
Address
2557 S Val Vista Drive
85295
Suite
Suite 103
City
Gilbert
State
AZ
County
Maricopa
Business Phone Number
(480)939-2000
Business Website Address
Business Fax
(480)939-2020
ASPA Effective Date
4/7/2014