Organization
RED MOUNTAIN INTERVENTIONAL PAIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAMBLEN DEAN FULLER (MANAGER)
(602) 793-0310
Entity
Organization
Contact information
Practice address
1831 E QUEEN CREEK RD, CHANDLER, AZ 85286-2019
(480) 292-8542
(480) 292-8534
Mailing address
1831 E QUEEN CREEK RD, CHANDLER, AZ 85286-2019
(480) 292-8542
(480) 292-8534
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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