Whalio Doctors

NPI 1083069694

Prime Medical Pain Management Centers, LLC

Organisation Pain Medicine Physician Phoenix, AZ

Practice location

Address
4527 N 27th Ave, Phoenix, AZ 85017-3702
Phone
(520) 409-3445
Fax
(866) 851-4817

Authorised official

Name
Roger H. Baker
Title
Owner
Phone
(520) 409-3445

Registered specialties

Pain Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 208VP0000X

Registry record

NPI
1083069694
Entity type
Organization
NPI issued
2 May 2016
Record last updated
2 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.