Phoenix Center LLC
NPI #1497915896 in Saint Louis Park, Minnesota
Provider Information
- NPI Number
- 1497915896
- Entity Type
- Organization
- Organization Name
- Phoenix Center LLC
- Primary Specialty
- Pain Medicine - Pain Medicine
- Enumeration Date
- Jun 10, 2008
- Last Updated
- Jun 10, 2008
Practice Location
- Address
- 4418 EXCELSIOR BLVD
- City
- Saint Louis Park
- State
- Minnesota
- ZIP Code
- 55416-4814
- Phone
- (612) 226-6481
Authorized Official
- Name
- MATTHEW MONSEIN
- Title
- PRESIDENT
- Phone
- (612) 226-6481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Pain Medicine — Pain Medicine |
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