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Organization

BASELINE PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELAINE M NEWMOON (ADMINISTRATOR)
(602) 507-6294
Entity
Organization

Contact information

Practice address
303 E BASELINE RD, SUITE 105, PHOENIX, AZ 85042-6530
(602) 507-6294
(602) 507-6297
Mailing address
303 E BASELINE RD, 105, PHOENIX, AZ 85042-6530
(602) 507-6294
(602) 507-6297

Taxonomy

Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary

Other

Enumeration date
06/17/2009
Last updated
10/27/2009
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