Organization
DESERT PAIN AND REHAB SPECIALISTS, PLLC
Active
Parent organization
DESERT PAIN AND REHAB SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
DESERT PAIN AND REHAB SPECIALISTS
Authorized official
HERBERT GOODMAN MD (PROVIDER / OWNER)
(602) 944-2222
Entity
Organization
Contact information
Practice address
302 EL CAMINO REAL STE E, SIERRA VISTA, AZ 85635-2860
(520) 335-2555
(520) 393-3467
Mailing address
11047 N 19TH AVE, PHOENIX, AZ 85029-4816
(602) 944-2222
(602) 331-2499
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
306932
—
AZ
Enumeration date
06/05/2018
Last updated
11/06/2019
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