Organization · Type 2 NPI
Pinetop-Lakeside Integrative & Physical Medicine,llc
Pain Medicine (Physical Medicine & Rehabilitation) Physician · Lakeside, AZ
Practice location
1628 Reed Ln
Lakeside, AZ 85929-6983
Fax (928) 368-5178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 34673 (AZ) |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician Primary | 2081P2900X | 34673 (AZ) |
Pain Medicine (Physical Medicine & Rehabilitation) Physician: A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
About NPI 1376864462
Pinetop-Lakeside Integrative & Physical Medicine,llc's National Provider Identifier is 1376864462, issued on Jun 13, 2010. The primary taxonomy on file is Pain Medicine (Physical Medicine & Rehabilitation) Physician (2081P2900X), and the practice location is in Lakeside, AZ. The record was last updated on Jun 13, 2010.