Desert Valley Advanced Pain Management, Pllc

LBN: Desert Valley Advanced Pain Management, Pllc
Desert Valley Advanced Pain Management, Pllc is an health care organization with primary practice located at 11024 N 28Th Dr Suite 160, Phoenix AZ 85029-4377. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Desert Valley Advanced Pain Management, Pllc can be contacted via phone (602) 863-3924, or through Diede, James H via phone (602) 863-3924.

Contact Information

Primary practice address
11024 N 28Th Dr Suite 160 Phoenix AZ 85029-4377
Phone: (602) 863-3924
Fax: (602) 863-3926
Website:
Map and Directions
Authorized official contact:
Name: Diede, James H Doctor of Medicine (MD)
Phone: (602) 863-3924

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Arizona

Profile Details

NPI number 1851552400
LBN Legal business name Desert Valley Advanced Pain Management, Pllc
DBA Doing business as
Authorized official Diede, James H Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2008
Last updated Apr 16th, 2013 - about 13 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 1851552400 NPPES
Arizona Other Z127383 MEDICARE PTAN

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