Center for Pain Treatment Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4555 Issued in AZ

Legal business name

CENTER FOR PAIN TREATMENT INC

Doing business as

Davis Medical Center/Davis Family Practice

Practice address

55 S 6TH St
Cottonwood, AZ 86326-4237

Phone

(928) 634-5118

Fax

(928) 634-8522

NPI assigned

Mar 14, 2008

Last updated

Oct 28, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Paul E Quintero, VICE PRESIDENT

Title

Co-Owner

Phone

(928) 634-5118

Specialties & licenses 2

Addresses

Other names 1

• Davis Medical Center/Davis Family Practice Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288224000000",
    "number": "1902077100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S 6TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264237",
            "telephone_number": "928-634-5118",
            "fax_number": "928-634-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S 6TH ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264237",
            "telephone_number": "928-634-5118",
            "fax_number": "928-634-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PAIN TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2010-10-28",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "928-634-5118",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "VICE PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "4555",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AZ",
            "license": "4555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Davis Medical Center/Davis Family Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jennifer Christy, D.O.
• Donna Clark, LCSW

• General Practice Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.