Organization
INTERGRATIVE PAIN CENTER OF ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM LOOMAN (PRACTICE MANAGER)
(520) 797-7246
Entity
Organization
Contact information
Practice address
3945 E PARADISE FALLS DR STE 105, TUCSON, AZ 85712-6686
(520) 797-7246
(520) 795-4249
Mailing address
3945 E PARADISE FALLS DR STE 105, TUCSON, AZ 85712-6686
(520) 797-7246
(520) 795-4249
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
193200000X
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
913063
—
AZ
Enumeration date
03/10/2016
Last updated
03/10/2016
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