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Organization
MOUNTAIN VIEW PAIN AND WELLNESS INC
Active
Organization
MOUNTAIN VIEW PAIN AND WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUCHIR GUPTA MD (MEDICAL DIRECTOR)
(917) 443-1263
Entity
Organization
Contact information
Practice address
4105 N 20TH ST STE 130, PHOENIX, AZ 85016-6039
(602) 767-0008
Mailing address
4105 N 20TH ST STE 130, PHOENIX, AZ 85016-6039
(602) 767-0008
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
09/03/2024
Last updated
09/09/2026
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