Organization
TRIAD PAIN MANAGEMENT GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN J BACA DC (CLINICAL DIRECTOR)
(480) 413-0586
Entity
Organization
Contact information
Practice address
5331 S SUPERSTITION MOUNTAIN DR STE C105, GOLD CANYON, AZ 85118-1921
(480) 413-0586
(480) 730-0487
Mailing address
5331 S SUPERSTITION MOUNTAIN DR # C105, GOLD CANYON, AZ 85118-1921
(480) 413-0586
(480) 730-0487
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/05/2012
Last updated
07/11/2023
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