NPI | 1285085068 |
---|---|
Former Legal Business Name | VALLEY PAIN CENTERS OF PEORIA, LLC |
Doing Business As | VALLEY PAIN CENTERS |
Entity Type | Organization |
Authorized Contact | JEFFREY A LYNN CEO 602-795-0207 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2016-06-23 |
Last Update Date | 2020-07-20 |