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Organization

COLORADO RIVER PAIN MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JUDITH A SPILLANE (ADMINISTRATOR)
(928) 453-3267
Entity
Organization

Contact information

Practice address
1951 MESQUITE AVE, SUITE I, LAKE HAVASU CITY, AZ 86403-5746
(928) 453-3267
(928) 453-3276
Mailing address
1951 MESQUITE AVE, SUITE I, LAKE HAVASU CITY, AZ 86403-5746
(928) 453-3267
(928) 453-3276

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
26109
AZ

Other

Enumeration date
10/23/2009
Last updated
11/05/2009
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