MIRAGE MEDICAL LLC NPI 1609206549

NPI Information

MIRAGE MEDICAL LLC is a pain medicine physical medicine rehabilitation in Phoenix, 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. MIRAGE MEDICAL LLC NPI is 1609206549. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10046 N METRO PKWY W
SUITE 115
PHOENIX, AZ
ZIP 85051-437
Phone: (602) 674-5515
Fax: (602) 674-3029

The provider's authorized official is Jeremy R Buckner .
The authorized official title is Owner and has the following contact phone number (602) 421-2730.

The enumeration date for this NPI number is 11/13/2013 and was last updated on 11/13/2013.

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:

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