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Organization
INTEGRATIVE PAIN CENTRES OF PRESCOTT
Active
Organization
INTEGRATIVE PAIN CENTRES OF PRESCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DORIAN NORSE LANGE R.PH. (CEO)
(928) 910-3450
Entity
Organization
Contact information
Practice address
2820 N GLASSFORD HILL RD STE 101, PRESCOTT VALLEY, AZ 86314-2256
(928) 910-3450
Mailing address
3769 CROSSINGS DRIVE, SUITE B, PRESCOTT, AZ 86305
(928) 458-7343
(888) 491-4424
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/22/2014
Last updated
07/18/2022
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