Organization
5 STAR PAIN RELIEF PC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM LEE HATHAWAY DC (PRESIDENT)
(760) 340-1264
Entity
Organization
Contact information
Practice address
44530 SAN PABLO AVE, SUITE 204, PALM DESERT, CA 92260-3596
(760) 340-1264
(760) 340-0382
Mailing address
44530 SAN PABLO AVE, SUITE 204, PALM DESERT, CA 92260-3596
(760) 340-1264
(760) 340-0982
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/30/2013
Last updated
05/14/2015
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