Organization
INTEGRATIVE PAIN AND WELLNESS MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BILAL F. SHANTI MD (SOLE MEMBER)
(480) 473-7246
Entity
Organization
Contact information
Practice address
5051 E THOMAS RD, PHOENIX, AZ 85018-7912
(480) 473-7246
(480) 473-4942
Mailing address
4400 N SCOTTSDALE RD # 9717, SCOTTSDALE, AZ 85251-3331
(480) 473-7246
(480) 473-4942
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/14/2017
Last updated
06/16/2018
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