Organization
HONORHEALTH AMBULATORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN NEIL (SVP/CPE)
(480) 587-5123
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD STE 100, PHOENIX, AZ 85050-4204
(480) 222-7246
Mailing address
2500 W UTOPIA RD, PHOENIX, AZ 85027-4171
(480) 587-5314
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
08/11/2021
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