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DESERT PAIN AND REHAB SPECIALISTS PLLC NPI 1144712191


NPI Information

NPI: 1144712191
Provider Name: DESERT PAIN AND REHAB SPECIALISTS, PLLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
302 EL CAMINO REAL STE E
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 335-2555
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DESERT PAIN AND REHAB SPECIALISTS, PLLC is a durable medical equipment medical supplies in Sierra Vista, AZ. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DESERT PAIN AND REHAB SPECIALISTS, PLLC NPI is 1144712191. The provider is registered as an organization entity type.

The provider's business location address is:

302 EL CAMINO REAL STE E
SIERRA VISTA, AZ
ZIP 85635-860
Phone: (520) 335-2555
Fax: (520) 393-3467

The provider's authorized official is Herbert Goodman .
The authorized official title is Provider / Owner and has the following contact phone number (602) 944-2222.

The enumeration date for this NPI number is 6/5/2018 and was last updated on 11/6/2019.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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
1306932MEDICAIDARIZONA

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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