| Desert Pain And Rehab Specialists | |
|
11047 N 19th Ave Phoenix AZ 85029 | |
| (602) 944-2222 | |
| (602) 331-2499 |
| Full Name | Desert Pain And Rehab Specialists |
|---|---|
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 11047 N 19th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Herbert Donald Goodman (CO-OWNER) |
| Authorized Official Contact | 6029442222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Pain And Rehab Specialists 11047 N 19th Ave Phoenix AZ 85029-4816 Ph: (602) 944-2222 | Desert Pain And Rehab Specialists 11047 N 19th Ave Phoenix AZ 85029 Ph: (602) 944-2222 |
| NPI Number | 1457416414 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 06/24/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457416414 | NPI | - | NPPES |
| 306932 | Medicaid | AZ |
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