| NPI | 1568009801 |
|---|---|
| Former Legal Business Name | FLAGSTAFF PAIN AND TREATMENT CENTER, L.L.C. |
| Entity Type | Organization |
| Authorized Contact | SUSAN NANCE Manager 602-903-0360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2020-12-29 |