Organization
NEUROPATHY RELIEF CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BODRE MACK RISING D.C. (PRESIDENT/OWNER)
(409) 289-1411
Entity
Organization
Contact information
Practice address
1948 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5777
(928) 846-3620
(866) 611-9440
Mailing address
1948 MESQUITE AVE, SUITE 102, LAKE HAVASU CITY, AZ 86403-5777
(928) 846-3620
(866) 611-9440
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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