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ADVANCED BACK AND NECK CARE OF OCOTILLO PC NPI 1326071010


NPI Information

NPI: 1326071010
Provider Name: ADVANCED BACK AND NECK CARE OF OCOTILLO, PC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
1055 W QUEEN CREEK RD
#3
CHANDLER, AZ
ZIP 85248
Phone: (480) 814-7115
Get Directions

ADVANCED BACK AND NECK CARE OF OCOTILLO, PC is an interventional pain medicine pain medicine in Chandler, AZ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. ADVANCED BACK AND NECK CARE OF OCOTILLO, PC NPI is 1326071010. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1055 W QUEEN CREEK RD
#3
CHANDLER, AZ
ZIP 85248-134
Phone: (480) 814-7115
Fax: (480) 814-7792

The provider's authorized official is Phil Gulde .
The authorized official title is Mgr and has the following contact phone number (480) 814-7115.

The enumeration date for this NPI number is 7/8/2006 and was last updated on 1/7/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2225100000XPhysical TherapistNo
3208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DD7117MEDICARE OSCAR/CERTIFICATIONARIZONA
2Z70637MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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