Paincare Of Arizona Ii, Llc | |
14175 W Indian School Rd Suite B-4-517 Goodyear AZ 85395-8407 | |
(602) 488-4558 | |
Not Available |
Full Name | Paincare Of Arizona Ii, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 14175 W Indian School Rd, Goodyear, Arizona |
Authorized Official Name and Position | Sky C Moore (OWNER) |
Authorized Official Contact | 6024884558 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Paincare Of Arizona Ii, Llc 14175 W Indian School Rd Suite B-4-517 Goodyear AZ 85395-8407 Ph: (602) 488-4558 | Paincare Of Arizona Ii, Llc 14175 W Indian School Rd Suite B-4-517 Goodyear AZ 85395-8407 Ph: (602) 488-4558 |
NPI Number | 1811159437 |
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Provider Enumeration Date | 06/25/2008 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811159437 | NPI | - | NPPES |
4249 | Other | AZ | OTC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | 4249 (Arizona) | Primary |
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