Advanced Back And Neck Care Of Ocotillo, PC
Pain Medicine, Interventional Pain Medicine in Chandler, AZ. Organization (NPI-2).
NPI number1326071010
StatusActive
Last updated in NPPESJan 7, 2015
Details
- NPI
- 1326071010
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Back And Neck Care Of Ocotillo, PC
- Organization subpart
- No
- Enumeration date
- Jul 8, 2006
- Last updated
- Jan 7, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
| 111N00000X | Chiropractor | – | – | |
| 225100000X | Physical Therapist | – | – |
Practice location
1055 W Queen Creek Rd#3
Chandler, AZ 85248-8134
Phone 480-814-7115 · Fax 480-814-7792
Mailing address
1055 W Queen Creek Rd#3
Chandler, AZ 85248-8134
Phone 480-814-7115 · Fax 480-814-7792
Authorized official
Phil Gulde
Mgr
4808147115
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