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Organization

NEUROLOGY PAIN GROUP, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAWN VIGNEAU (MANAGER)
(480) 897-3300
Entity
Organization

Contact information

Practice address
1001 E WARNER RD STE 103, TEMPE, AZ 85284-3224
(480) 566-9755
Mailing address
1001 E WARNER RD STE 103, TEMPE, AZ 85284-3224
(480) 566-9755

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary

Other

Enumeration date
10/11/2021
Last updated
10/11/2021
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