Preferred Pain Center Laveen, LLC

NPI #1154639813 in Laveen, Arizona

Provider Information

NPI Number: 1154639813
Entity Type: Organization
Organization Name: Preferred Pain Center Laveen, LLC
Primary Specialty: Specialist
Enumeration Date: Sep 15, 2010
Last Updated: Sep 15, 2010

Practice Location

Address: 5045 W BASELINE RD
City: Laveen
State: Arizona
ZIP Code: 85339-7392
Phone: (602) 507-6550

Authorized Official

Name: DR. DAVID GREENE, MD
Title: CEO
Phone: (602) 507-6550

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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