Organization
WELEVATE FOR PAIN A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE DUFFIELD (CREDENTIALING)
(470) 473-4809
Entity
Organization
Contact information
Practice address
45210 CLUB DR, INDIAN WELLS, CA 92210-8860
(914) 758-0044
(914) 533-3568
Mailing address
45210 CLUB DR, INDIAN WELLS, CA 92210-8860
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/05/2021
Update your record
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