Organization
ARIZONA PAIN SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRET KELLER (VP OPERATIONS)
(460) 563-6400
Entity
Organization
Contact information
Practice address
705 N LEROUX ST, FLAGSTAFF, AZ 86001-3225
(480) 563-6400
(480) 563-8009
Mailing address
9787 N 91ST ST, SCOTTSDALE, AZ 85258-5088
(480) 563-6400
(480) 563-8009
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
35497
AZ
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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