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Organization

ADVANCED PAIN ASSOCIATES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LESLIE DIGGES (OFFICE MANAGER)
(602) 395-0718
Entity
Organization

Contact information

Practice address
5102 W CAMPBELL AVE, PHOENIX, AZ 85031-1703
(602) 267-1779
(602) 277-8146
Mailing address
P.O. BOX 39179, PHOENIX, AZ 85069
(602) 395-0718

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
552465
AZ
Enumeration date
01/12/2009
Last updated
02/20/2009
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