NPI: 1285085068
Provider Name: VALLEY PAIN CENTERS OF ARIZONA, LLC
Former Legal Business Name: VALLEY PAIN CENTERS OF PEORIA, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization
Specialization: Ambulatory Surgical
CLIA Number: 03D2117214
Address:
9242 W UNION HILLS DR STE 100
PEORIA, AZ
ZIP 85382
Phone: (623) 777-0333
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VALLEY PAIN CENTERS OF ARIZONA, LLC is an ambulatory surgical clinic center in Peoria, AZ. VALLEY PAIN CENTERS OF ARIZONA, LLC NPI is 1285085068. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Valley Pain Centers Of Peoria, Llc.
The provider's business location address is:
9242 W UNION HILLS DR STE 100
PEORIA, AZ
ZIP 85382-218
Phone: (623) 777-0333
Fax: (623) 777-0566
The provider's authorized official is Jeffrey A Lynn .
The authorized official title is Ceo and has the following contact phone number (602) 795-0207.
The CLIA number assigned to this NPI record is 03D2117214 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 6/23/2016 and was last updated on 7/20/2020.