# INTEGRATIVE PAIN CENTRES OF PRESCOTT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609264837
- **Authorized official:** MR. DORIAN NORSE LANGE R.PH. (CEO)
- **Authorized official phone:** (928) 910-3450

## Contact information

- **Practice address:** 2820 N GLASSFORD HILL RD STE 101, PRESCOTT VALLEY, AZ 86314-2256
- **Practice address phone:** (928) 910-3450
- **Mailing address:** 3769 CROSSINGS DRIVE, SUITE B, PRESCOTT, AZ 86305
- **Mailing address phone:** (928) 458-7343
- **Mailing address fax:** (888) 491-4424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2014
- **Last updated:** 07/18/2022