Organization
UPTOWN PAINSTOP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHALLEN WAYCHOFF (CFO)
(480) 331-4222
Entity
Organization
Contact information
Practice address
3724 N 3RD ST, SUITE 300, PHOENIX, AZ 85012-2034
(480) 331-4222
(480) 471-6315
Mailing address
3724 N 3RD ST, SUITE 300, PHOENIX, AZ 85012-2034
(480) 331-4222
(480) 471-6315
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
10/07/2016
Last updated
01/30/2018
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