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Contact Information

ADVANCED PAIN MEDICINE OF SOUTHERN ARIZONA PC
1521 E TANGERINE RD
SUITE 161
ORO VALLEY, AZ85755
 Phone: 520-205-2249
 Fax: 520-382-1424
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for ADVANCED PAIN MEDICINE OF SOUTHERN ARIZONA PC

NPI # 1508033812
LBN Legal business name ADVANCED PAIN MEDICINE OF SOUTHERN ARIZONA PC
Authorized official RICHARD CHASE - (PRESIDENT OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2008
Last updated 05/15/2008 - About 18 years ago
Identifiers
WI Medicaid 2134195
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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