Organization
MARYVALE PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEANA PEREA (BILLING MANAGER)
(480) 737-1895
Entity
Organization
Contact information
Practice address
604 W WARNER RD STE C2, CHANDLER, AZ 85225-2915
(480) 786-4644
Mailing address
604 W WARNER RD STE C2, CHANDLER, AZ 85225-2915
(480) 786-4644
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/24/2021
Last updated
03/24/2021
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