# NEUROPATHY RELIEF CENTERS INC

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

## Provider details

- **NPI number:** 1770855314
- **Authorized official:** DR. BODRE MACK RISING D.C. (PRESIDENT/OWNER)
- **Authorized official phone:** (409) 289-1411

## Contact information

- **Practice address:** 1948 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5777
- **Practice address phone:** (928) 846-3620
- **Practice address fax:** (866) 611-9440
- **Mailing address:** 1948 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5777
- **Mailing address phone:** (928) 846-3620
- **Mailing address fax:** (866) 611-9440

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/27/2012
- **Last updated:** 01/27/2012