Medela Vida LLC
Clinic/Center, Pain in Mesa, AZ. Organization (NPI-2).
NPI number1073124509
StatusActive
Last updated in NPPESAug 10, 2020
Details
- NPI
- 1073124509
- Entity type
- Organization (NPI-2)
- Legal business name
- Medela Vida LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2020
- Certification date
- Aug 10, 2020
- Last updated
- Aug 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP3300X | Clinic/Center, Pain | – | – | Yes |
Other names
- Pibcoa - The Pain, Injury & Brain Centers Of America (Doing Business As)
Practice location
6020 E Brown Rd Ste 104Mesa, AZ 85205-4812
Phone 602-428-0700
Mailing address
6020 E Brown Rd Ste 104Mesa, AZ 85205-4812
Phone 602-428-0700
Authorized official
Timothy Dean Bingham
Owner
4803310046
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All 9 Pain Clinic/Center providers in Mesa · All 13,507 providers in Mesa
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