Organization
VALLEY PAIN TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA DURLAM (PRACTICE ADMINISTRATOR)
(602) 262-8903
Entity
Organization
Contact information
Practice address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Mailing address
1850 N CENTRAL AVE, SUITE 1600, PHOENIX, AZ 85004-4527
(602) 744-4765
(602) 744-4799
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
OTC 3458
AZ
Other
Enumeration date
12/06/2006
Last updated
09/15/2010
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