Organization
VALLEY OF THE SUN INSTITUTE FOR PAIN MANAGEMENT, PLLC
Active
Other names
Sedona Pain and Rehabilitation, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTELLE R FARRELL DO (OWNER/PHYSICIAN)
(480) 955-1515
Entity
Organization
Contact information
Practice address
4921 E BELL RD STE 203, SCOTTSDALE, AZ 85254-6002
(480) 955-1515
(844) 287-5554
Mailing address
13835 N TATUM BLVD STE 9326, PHOENIX, AZ 85032-0409
(480) 955-1515
(844) 287-5554
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3223
STATE LICENSE
AZ
05
—
449216
—
AZ
Enumeration date
12/12/2017
Last updated
08/18/2022
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