Neuropathy and Pain Centre of Prescott LLC

NPI #1528402039 in Prescott, Arizona

Provider Information

NPI Number: 1528402039
Entity Type: Organization
Organization Name: Neuropathy and Pain Centre of Prescott LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 26, 2013
Last Updated: Mar 4, 2014

Practice Location

Address: 1000 WILLOW CREEK RD
Address 2: SUITE D
City: Prescott
State: Arizona
ZIP Code: 86301-1645
Phone: (928) 458-7343

Authorized Official

Name: SUSAN MOORE
Title: OWNER
Phone: (928) 458-7343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Adult Health — Adult Health	363LA2200X
Internal Medicine	207R00000X	Primary

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