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Organization
NORTH PHOENIX PAIN CENTER LLC
Active
Organization
NORTH PHOENIX PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE BURROLA (OWNER)
(480) 626-1746
Entity
Organization
Contact information
Practice address
15650 N BLACK CANYON HWY # B121, PHOENIX, AZ 85053-4064
(480) 626-1746
Mailing address
15650 N BLACK CANYON HWY # B121, PHOENIX, AZ 85053-4064
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/02/2019
Last updated
12/30/2019
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