Organization
SOUTHWEST INTERNAL MEDICINE & PAIN CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER COOL M.D. (MEMBER)
(480) 237-9359
Entity
Organization
Contact information
Practice address
10440 E RIGGS RD, SUITE 160, SUN LAKES, AZ 85248-7751
(480) 237-9353
Mailing address
10440 E RIGGS RD, SUITE 160, SUN LAKES, AZ 85248-7751
(480) 237-9353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31073
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763640
—
AZ
Enumeration date
04/07/2008
Last updated
04/07/2008
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