NPI 1326071010 · live from the CMS NPI Registry
Advanced Back And Neck Care Of Ocotillo, PC
Pain Medicine, Interventional Pain Medicine in Chandler, AZ. National Provider Identifier 1326071010, active.
NPI record
| NPI | 1326071010 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pain Medicine, Interventional Pain Medicine 208VP0014X |
| Practice location | 1055 W Queen Creek Rd, #3, Chandler, AZ 85248 |
| Practice phone | 480-814-7115 |
| Enumerated | July 8, 2006 |
| Last updated | January 7, 2015 |
| Authorized official | Phil Gulde, Mgr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor | 111N00000X | — |
| Physical Therapist | 225100000X | — |
| Pain Medicine, Interventional Pain Medicine primary | 208VP0014X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.