Organization
BERTHA, LLC
Active
Other names
Four Peaks Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE KOVAC (MANAGER)
(480) 712-6663
Entity
Organization
Contact information
Practice address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
(480) 712-6663
Mailing address
3850 E BASELINE RD STE 117, MESA, AZ 85206-4404
(480) 712-6663
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
10/23/2018
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