Organization
PREFERRED PAIN CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI BELT (MANAGER/MEMBER)
(602) 507-6550
Entity
Organization
Contact information
Practice address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 507-6550
(602) 759-1741
Mailing address
PO BOX 29661, DEPT. # 2056, PHOENIX, AZ 85038-9661
(602) 507-6550
(602) 759-1741
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTC4724
OTC LICENSE
AZ
Enumeration date
06/22/2009
Last updated
12/17/2009
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