Organization
TOMAR PAIN CENTERS II, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HANEY (BUSINESS MANAGER)
(520) 421-0986
Entity
Organization
Contact information
Practice address
919 12TH PL STE 12B, PRESCOTT, AZ 86305-1433
(928) 771-2700
(928) 771-2747
Mailing address
919 12TH PL STE 12B, PRESCOTT, AZ 86305-1433
(928) 771-2700
(928) 771-2747
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OTC4997
AZ
Other
Enumeration date
07/20/2010
Last updated
01/17/2020
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