Organization
AVA PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELINA IP (ADMIN)
(206) 799-2193
Entity
Organization
Contact information
Practice address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
(480) 704-4540
Mailing address
2050 S COTTONWOOD DR, TEMPE, AZ 85282-3014
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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