Organization
SHEA OUTPATIENT TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BAGLEY (OFFICE MANAGER)
(480) 544-6432
Entity
Organization
Contact information
Practice address
8952 E DESERT COVE AVE STE 103, SCOTTSDALE, AZ 85260-6776
(480) 935-0990
Mailing address
8952 E DESERT COVE AVE STE 103, SCOTTSDALE, AZ 85260-6776
(480) 935-0990
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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