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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIRAGE MEDICAL LLC

Active Organization

Pain Medicine (PM&R) · PHOENIX, AZ

Registration Details

NPI Number
1609206549
Provider Type
Organization
NPI Issued
Nov 13, 2013 (12.435743818768 yrs)
Last Updated
Nov 13, 2013
Licenses
AP4986 (AZ)
AP2828 (AZ)
5988 (AZ)

Practice Information

Address
10046 N METRO PKWY W
SUITE 115
PHOENIX, AZ, 850511437
Browse AZ providers · Browse ZIP 85051
Phone
6026745515
Fax
6026743029
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
Additional Specialty
Pain Medicine (PM&R)

Other Pain Medicine (PM&R) Organizations in PHOENIX, AZ

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.