Colorado River Pain Management LLC
NPI #1639405756 in Lake Havasu City, Arizona
Provider Information
- NPI Number
- 1639405756
- Entity Type
- Organization
- Organization Name
- Colorado River Pain Management LLC
- Primary Specialty
- Clinic/Center - Pain
- Enumeration Date
- Oct 23, 2009
- Last Updated
- Nov 5, 2009
Practice Location
- Address
- 1951 MESQUITE AVE
- Address 2
- SUITE I
- City
- Lake Havasu City
- State
- Arizona
- ZIP Code
- 86403-5746
- Phone
- (928) 453-3267
Authorized Official
- Name
- JUDITH A SPILLANE
- Title
- ADMINISTRATOR
- Phone
- (928) 453-3267
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Pain — Pain |
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