Organization
INTEGRATIVE PAIN CENTRES OF PRESCOTT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DORIAN NORSE LANGE R.PH. (CEO)
(928) 910-3450
Entity
Organization
Contact information
Practice address
2820 N GLASSFORD HILL RD STE 101, PRESCOTT VALLEY, AZ 86314-2256
(928) 910-3450
Mailing address
3769 CROSSINGS DRIVE, SUITE B, PRESCOTT, AZ 86305
(928) 458-7343
(888) 491-4424
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
07/18/2022
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