Organization
OLD TOWN PAIN PROFESSIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CORMIER DC (MANAGING MEMBER)
(480) 306-7227
Entity
Organization
Contact information
Practice address
2629 N SCOTTSDALE RD, SCOTTSDALE, AZ 85257-1370
(480) 306-7227
Mailing address
4300 N MILLER RD STE 240, SCOTTSDALE, AZ 85251-3639
(480) 306-7227
(480) 306-7238
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
03/05/2018
Last updated
12/07/2018
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