Organization
PHOENIX PREMIERE PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN DUGGER (DIRECTOR OF OPERATIONS)
(214) 872-3381
Entity
Organization
Contact information
Practice address
6245 N 16TH ST, PHOENIX, AZ 85016-1706
(602) 253-4271
(214) 872-3387
Mailing address
6351 PRESTON RD STE 295, FRISCO, TX 75034-6422
(214) 872-3381
(214) 872-3387
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC 4400
AZ
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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