Organization
PROGRESSIVE PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE ROGER EDELEN MD (MD)
(520) 233-6502
Entity
Organization
Contact information
Practice address
1653 E MCMURRAY BLVD STE 144, CASA GRANDE, AZ 85122-5934
(520) 836-8644
(520) 836-2499
Mailing address
202 E EARLL DR STE 360, PHOENIX, AZ 85012-2677
(480) 788-5621
(480) 779-1277
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
368269
—
AZ
Enumeration date
03/31/2008
Last updated
11/20/2025
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