CENTER FOR PAIN TREATMENT INC
Psychiatric at 6 St, Cottonwood, AZ

License number
Arizona 4555
Category
Osteopathic Medicine
Type
General Practice
License number
Arizona 4555
Category
Psychiatric
Type
Interventional Pain Medicine
Owner
Name: MR. PAUL E QUINTERO VICE PRESIDENT
Title: CO-OWNER
Phone: (928) 634-5118
Address
Address
55 S 6Th St, Cottonwood, AZ 86326
National Provider ID: 1902077100
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTER FOR PAIN TREATMENT INC

55 S 6 St, Cottonwood, AZ 86326

Status:
Inactive
Industry:
Specialty Outpatient Clinic
Inactive reason:
Ad-dissolved-file annual report
Registration:
Mar 9, 2007
Inactive since:
Aug 18, 2014
Phone:
(928) 634-5118 (Phone)
State ID:
-1351030-5
Expiration:
PERPETUAL
Insurance/billing Supervisors:
Linda Davis (President/ceo, Principal, Pain Management), 55 S 6 St, Cottonwood, AZ 86326 (Physical),Paul H. Quintero (Co-Owner),Stella A. Crozier (Insurance/billing Supervisor)

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