# YUMA INTEGRATED PAIN & REHAB

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

## Provider details

- **NPI number:** 1720644099
- **Authorized official:** ERIKA LOPEZ (OFFICE MANAGER)
- **Authorized official phone:** (480) 233-0457

## Contact information

- **Practice address:** 2503 S AVENUE A STE 1, YUMA, AZ 85364-7174
- **Practice address phone:** (480) 233-0457
- **Practice address fax:** (928) 276-4649
- **Mailing address:** 2503 S AVENUE A STE 1, YUMA, AZ 85364-7174
- **Mailing address phone:** (480) 233-0457
- **Mailing address fax:** (928) 276-4649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2019
- **Last updated:** 05/13/2019