Organization
PREMIER PAIN SURGERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI BELT (OWNER)
(602) 354-5659
Entity
Organization
Contact information
Practice address
10255 N 32ND ST, PHOENIX, AZ 85028-3851
(602) 354-5659
(602) 354-5896
Mailing address
PO BOX 268938, OKLAHOMA CITY, OK 73126-8938
(602) 354-5659
(602) 354-5896
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
OSC5336
AZ
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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