Organization
REHABILITATION & PAIN CENTER PHOENIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JO ANN JOHNSON (CREDENTIALING)
(713) 586-6778
Entity
Organization
Contact information
Practice address
9377 E BELL RD, STE 207, SCOTTSDALE, AZ 85260-1502
(480) 538-2161
(480) 585-9961
Mailing address
4131 DIRECTORS ROW, PO BOX 925185, HOUSTON, TX 77092-8703
(713) 586-6778
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
36513
AZ
Other
Enumeration date
06/14/2007
Last updated
01/18/2012
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