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Organization
PRIME MEDICAL PAIN MANAGEMENT CENTERS, LLC
Active
Organization
PRIME MEDICAL PAIN MANAGEMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER H. BAKER MD (OWNER)
(520) 409-3445
Entity
Organization
Contact information
Practice address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(520) 409-3445
(866) 851-4817
Mailing address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(520) 409-3445
(866) 851-4817
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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