PROACTIVE PAIN TREATMENT LLC

TEMPE, AZ
NPI1730742859
Entity TypeOrganization
Authorized ContactJERRY BUCKNER
Sole Mbr
480-930-4018
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center Ambulatory Surgical
Enumeration Date2019-04-15
Last Update Date2019-04-15
Business Address
PROACTIVE PAIN TREATMENT LLC
1001 E WARNER RD STE 103
TEMPE, AZ 85284-3224
Phone number: 480-566-9755
Mailing Address
PROACTIVE PAIN TREATMENT LLC
1001 E WARNER RD STE 103
TEMPE, AZ 85284-3224
Phone number: