Desert Pain And Rehab Specialists

LBN: Desert Pain And Rehab Specialists
Desert Pain And Rehab Specialists is an health care organization with primary practice located at 11047 N 19Th Ave , Phoenix AZ 85029. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is the primary health care specialty. Desert Pain And Rehab Specialists can be contacted via phone (602) 944-2222, or through Goodman, Herbert Donald via phone (602) 944-2222.

Contact Information

Primary practice address
11047 N 19Th Ave Phoenix AZ 85029
Phone: (602) 944-2222
Fax: (602) 331-2499
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Herbert Donald Doctor of Medicine (MD)
Phone: (602) 944-2222

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3984 Arizona
Allopathic & Osteopathic Physicians / Addiction Medicine 207RA0401X 11336 Arizona
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X

Profile Details

NPI number 1457416414
LBN Legal business name Desert Pain And Rehab Specialists
DBA Doing business as
Authorized official Goodman, Herbert Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
Last updated Jun 24th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457416414 NPPES
Arizona MEDICAID 306932

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