# PRIME MEDICAL PAIN MANAGEMENT CENTERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083069694
- **Authorized official:** ROGER H. BAKER MD (OWNER)
- **Authorized official phone:** (520) 409-3445

## Contact information

- **Practice address:** 4527 N 27TH AVE, PHOENIX, AZ 85017-3702
- **Practice address phone:** (520) 409-3445
- **Practice address fax:** (866) 851-4817
- **Mailing address:** 4527 N 27TH AVE, PHOENIX, AZ 85017-3702
- **Mailing address phone:** (520) 409-3445
- **Mailing address fax:** (866) 851-4817

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 05/02/2016