# SOUTHWEST PRIME CONSULTING SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Prime Consulting Services, Premier Health Network
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275389306
- **Authorized official:** JUSTIN TYLER (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (480) 388-7585

## Contact information

- **Practice address:** 1747 E GARNET AVE, MESA, AZ 85204-6013
- **Practice address phone:** (480) 388-7585
- **Mailing address:** 1747 E GARNET AVE, MESA, AZ 85204-6013
- **Mailing address phone:** (480) 388-7585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 04/29/2024
- **Last updated:** 08/21/2025