Chandler Pain Medicine & Physical Therapy, LLC
Nurse Practitioner, Adult Health in Chandler, AZ. Organization (NPI-2).
NPI number1457708034
StatusActive
Last updated in NPPESMar 8, 2017
Details
- NPI
- 1457708034
- Entity type
- Organization (NPI-2)
- Legal business name
- Chandler Pain Medicine & Physical Therapy, LLC
- Organization subpart
- Yes
- Enumeration date
- May 24, 2016
- Last updated
- Mar 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | AP8549 | AZ | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | AP4912 | AZ | |
| 171100000X | Acupuncturist | 0987 | AZ | |
| 2081P2900X | Physical Medicine & Rehabilitation, Pain Medicine | 32912 | AZ | |
| 225100000X | Physical Therapist | 8894 | AZ | |
| 363L00000X | Nurse Practitioner | AP7638 | AZ |
Practice location
1055 W Queen Creek RdSte. #2
Chandler, AZ 85248-8134
Phone 480-814-1023 · Fax 480-814-7792
Mailing address
8351 E Tailfeather DrScottsdale, AZ 85255-6459
Phone 480-299-5700
Authorized official
David Voyer
Sole Member
4802995700
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