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Contact Information

CACTUS PAIN RELIEF, LLC
20255 N LAKE PLEASANT RD STE 102
PEORIA, AZ85382-9747
 Phone: 623-225-7154
 Fax: 623-376-8225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for CACTUS PAIN RELIEF, LLC

NPI Number 1366049025
LBN Legal business name CACTUS PAIN RELIEF, LLC
Authorized official BRANDON KULP - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/06/2020
Last updated 10/06/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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