Organization
BLADDER CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORY LANCE MCJUNKIN MD (MEDICAL DIRECTOR)
(480) 757-8777
Entity
Organization
Contact information
Practice address
11220 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1629
(480) 757-8777
Mailing address
11220 N TATUM BLVD STE 103, PHOENIX, AZ 85028-1629
(480) 757-8777
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/23/2022
Last updated
06/27/2022
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