Organization
PREMIER PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES SIEFFERT DC (CLINICAL ADMINISTRATOR)
(280) 272-8944
Entity
Organization
Contact information
Practice address
4540 E BASELINE RD STE 112, MESA, AZ 85206-4616
(480) 272-8944
(480) 237-5682
Mailing address
4540 E BASELINE RD STE 105, MESA, AZ 85206-4616
(480) 272-8944
(480) 237-5682
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
OTC4333
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC4913
OTC LICENSCE
AZ
Enumeration date
01/24/2008
Last updated
10/28/2010
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