Organization
PRIME MEDICAL PAIN MANAGEMENT CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER H. BAKER MD (OWNER)
(520) 409-3445
Entity
Organization
Contact information
Practice address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(520) 409-3445
(866) 851-4817
Mailing address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(520) 409-3445
(866) 851-4817
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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