| 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 |