Southwest Comprehensive Pain Management LLC

NPI #1316114663 in Phoenix, Arizona

Provider Information

NPI Number
1316114663
Entity Type
Organization
Organization Name
Southwest Comprehensive Pain Management LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
May 14, 2008
Last Updated
Mar 7, 2023

Practice Location

Address
1749 W BRAMBLE BERRY LN
State
Arizona
ZIP Code
85085-8044
Phone
(623) 780-1563

Authorized Official

Name
DR. GABRIEL LUIS BONILLA, MD
Title
MEDICAL DIRECTOR AND LLC MEMBER
Phone
(623) 780-1563

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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