Organization
SRP FACILITY
Active
Parent organization
SRP FACILITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRP FACILITY
Authorized official
MR. SANJAY R PATEL MD (MEDICAL DIRECTOR/OWNER)
(602) 889-9880
Entity
Organization
Contact information
Practice address
3330 N 2ND ST, SUITE 200, PHOENIX, AZ 85012-2368
(602) 889-9880
Mailing address
PO BOX 36395, PHOENIX, AZ 85013-9998
(602) 889-9880
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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