Pinetop-Lakeside Integrative & Physical Medicine,llc

NPI #1376864462 in Lakeside, Arizona

Provider Information

NPI Number
1376864462
Entity Type
Organization
Organization Name
Pinetop-Lakeside Integrative & Physical Medicine,llc
Primary Specialty
Physical Medicine & Rehabilitation - Pain Medicine
Enumeration Date
Jun 13, 2010
Last Updated
Jun 13, 2010

Practice Location

Address
1628 REED LN
State
Arizona
ZIP Code
85929-6983
Phone
(928) 358-1648

Authorized Official

Name
DR. KEVIN MAR, M.D.
Title
MANAGER
Phone
(928) 358-1648

Specialties & Taxonomy Codes

Specialty
Physical Medicine & Rehabilitation
Physical Medicine & Rehabilitation - Pain MedicinePain Medicine

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