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Organization
DESERT PAIN AND REHAB SPECIALISTS
Active
Organization
DESERT PAIN AND REHAB SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT DONALD GOODMAN M.D. (CO-OWNER)
(602) 944-2222
Entity
Organization
Contact information
Practice address
11047 N 19TH AVE, PHOENIX, AZ 85029
(602) 944-2222
(602) 331-2499
Mailing address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-2222
(602) 331-2499
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
3984
AZ
207RA0401X
Addiction Medicine (Internal Medicine) Physician
11336
AZ
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
12/27/2006
Last updated
06/24/2019
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