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PHYSICAL MEDICINE CENTERS OF ARIZONA LLC NPI 1194026039


NPI Information

NPI: 1194026039
Provider Name: PHYSICAL MEDICINE CENTERS OF ARIZONA, LLC

Doing Business As: LAVEEN PHYSICAL MEDICINE

Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
5045 W BASELINE RD STE 120
SUITE 120
LAVEEN, AZ
ZIP 85339
Phone: (602) 237-1105
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PHYSICAL MEDICINE CENTERS OF ARIZONA, LLC is a pain medicine physical medicine rehabilitation in Laveen, AZ. The provider is a physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. PHYSICAL MEDICINE CENTERS OF ARIZONA, LLC NPI is 1194026039. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Laveen Physical Medicine.

The provider's business location address is:

5045 W BASELINE RD STE 120
SUITE 120
LAVEEN, AZ
ZIP 85339-393
Phone: (602) 237-1105
Fax: (602) 237-1106

The provider's authorized official is Jerod Bowen .
The authorized official title is Owner and has the following contact phone number (602) 237-1105.

The enumeration date for this NPI number is 11/9/2010 and was last updated on 3/5/2012.


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
12081P2900XPhysical Medicine & RehabilitationPain 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
1Z145394MEDICARE PINARIZONA
26531240001MEDICARE NSCARIZONA

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: 4/28/2024

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