Organization · Type 2 NPI
Premier Pain Management, LLC
Pain Clinic/Center · Mesa, AZ
NPI number
1174700975
Active
Practice location
4540 E Baseline Rd Ste 112
Mesa, AZ 85206-4616
Fax (480) 237-5682
Mailing address
4540 E Baseline Rd Ste 105
Mesa, AZ 85206-4616
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pain Clinic/Center Primary | 261QP3300X | OTC4333 (AZ) |
Pain Clinic/Center: Definition to come...
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About NPI 1174700975
Premier Pain Management, LLC's National Provider Identifier is 1174700975, issued on Jan 24, 2008. The primary taxonomy on file is Pain Clinic/Center (261QP3300X), and the practice location is in Mesa, AZ. The record was last updated on Oct 28, 2010.