Organization
INTEGRATED PAIN AND SPINE OTC ,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLIFFORD BAKER MD (MD/OWNER)
(623) 777-4747
Entity
Organization
Contact information
Practice address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
Mailing address
13203 N 103RD AVE STE H5, SUN CITY, AZ 85351-3032
(623) 777-4747
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235342775
INDIVIDUAL NPI
AZ
Enumeration date
09/26/2017
Last updated
07/21/2022
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