Organization
OMEGA MEDICAL & PAIN MANAGEMENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CHURCH MD (MEMBER)
(414) 982-5977
Entity
Organization
Contact information
Practice address
4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
(414) 820-5603
Mailing address
10810 N TATUM BLVD STE 102302, PHOENIX, AZ 85028-0503
(414) 982-5977
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
48629
AZ
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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