Organization
PAINCARE HEALTH INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY B AUTEN (MANAGER)
(623) 433-0199
Entity
Organization
Contact information
Practice address
10815 W MCDOWELL RD, STE 304, AVONDALE, AZ 85392-5007
(623) 433-0199
(623) 433-0198
Mailing address
10815 W MCDOWELL RD, STE 304, AVONDALE, AZ 85392-5007
(623) 433-0199
(623) 433-0198
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
342563
—
AZ
Enumeration date
06/30/2008
Last updated
09/29/2008
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