Organization
ADVANCED PAIN MEDICINE OF SOUTHERN ARIZONA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ALLAN CHASE MD (PRESIDENT OWNER)
(520) 205-2249
Entity
Organization
Contact information
Practice address
1521 E TANGERINE RD, SUITE 161, ORO VALLEY, AZ 85755
(520) 205-2249
(520) 382-1424
Mailing address
1521 E TANGERINE RD, SUITE 161, ORO VALLEY, AZ 85755
(520) 205-2249
(520) 382-1424
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134195
—
WI
Enumeration date
05/15/2008
Last updated
05/15/2008
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