Organization
MUA CENTER OF PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL R NOBACK MD (OWNER)
(941) 360-1566
Entity
Organization
Contact information
Practice address
16222 N 59TH AVE, STE A-100, GLENDALE, AZ 85306-1701
(941) 360-1566
Mailing address
PO BOX 864483, ORLANDO, FL 32886-4483
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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