Organization
CENTER FOR PAIN TREATMENT INC
Active
Other names
Davis Medical Center/Davis Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL E QUINTERO VICE PRESIDENT (CO-OWNER)
(928) 634-5118
Entity
Organization
Contact information
Practice address
55 S 6TH ST, COTTONWOOD, AZ 86326-4237
(928) 634-5118
(928) 634-8522
Mailing address
55 S 6TH ST, COTTONWOOD, AZ 86326-4237
(928) 634-5118
(928) 634-8522
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
4555
AZ
208VP0014X
Interventional Pain Medicine Physician
4555
AZ
Other
Enumeration date
03/14/2008
Last updated
10/28/2010
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