Pain and Spine Center of the Desert Inc.
NPI #1285902403 in Palm Desert, California
Provider Information
- NPI Number
- 1285902403
- Entity Type
- Organization
- Organization Name
- Pain and Spine Center of the Desert Inc.
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Dec 2, 2011
- Last Updated
- Jul 9, 2014
Practice Location
- Address
- 73271 FRED WARING DR
- Address 2
- SUITE 102
- City
- Palm Desert
- State
- California
- ZIP Code
- 92260-2883
- Phone
- (760) 776-7999
Authorized Official
- Name
- DR. MARK HENRY CORONEL BOUFFARD IV, M.D.
- Title
- PRESIDENT
- Phone
- (760) 776-7999
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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