Organization
PRIME MEDICAL PAIN MANAGEMENT CENTERS II PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER BAKER MD (PARTNER)
(602) 300-4754
Entity
Organization
Contact information
Practice address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 300-4754
(602) 249-1614
Mailing address
4527 N 27TH AVE, PHOENIX, AZ 85017-3702
(602) 300-4754
(602) 249-1614
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2016
Last updated
12/14/2016
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