Organization
MESA PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORI KOVAC (OWNER)
(480) 712-6663
Entity
Organization
Contact information
Practice address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
(480) 712-6663
Mailing address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
(480) 712-6663
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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