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

ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC

Active Organization

ACTIVE LIFE PHYSICAL MEDICINE AND PAIN CENTER, PLLC is a Pain Medicine (PM&R) organization located in SURPRISE, Arizona. NPI 1811130016 is currently active in the NPPES registry. Verify at CMS.

Pain Medicine (PM&R) · SURPRISE, AZ

Registration Details

NPI Number
1811130016
Provider Type
Organization
NPI Issued
Apr 17, 2009 (17.365601066848 yrs)
Last Updated
May 29, 2023
License
005097 (AZ)

Practice Information

Address
15547 N REEMS RD BLDG A
SURPRISE, AZ, 853749583
Browse AZ providers · Browse ZIP 85374
Phone
6235359777
Fax
6235359778
Primary Specialty
Pain Medicine (PM&R)
2081P2900X
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.