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Organization
PAINX JOINT- REVITALIZATION INC
Active
Organization
PAINX JOINT- REVITALIZATION INC
Active
Other names
PainX
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA AMAYA PA-C (PHYSICIAN ASSISTANT)
(602) 828-6705
Entity
Organization
Contact information
Practice address
62 N STAPLEY DR STE B, MESA, AZ 85203-8845
(602) 828-6705
(602) 581-7160
Mailing address
62 N STAPLEY DR STE B, MESA, AZ 85203-8845
(602) 828-6705
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
NULL
208VP0000X
Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Enumeration date
06/04/2019
Last updated
03/05/2020
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