Desert Pain and Rehab Specialists
Organization Active NPI Durable Medical Equipment & Medical Supplies · Globe, AZ
NPI 1922590975 · NPPES record last updated Nov 6, 2019
Key facts
- NPI
- 1922590975
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- DESERT PAIN AND REHAB SPECIALISTS
- Practice address
- 2005 Highway 60
Globe, AZ 85501-9601 - Phone
- (925) 425-8273
- Fax
- (928) 425-3066
- NPI assigned
- Jun 5, 2018
- Organization subpart
- Yes
- Parent organization (as reported)
- DESERT PAIN AND REHAB SPECIALISTS
Authorized official
- Name
- Herbert Goodman, MD
- Title
- Provider / Owner
- Phone
- (602) 944-2222
Parent organization (reported in NPPES) 1
National Provider Directory
- Part of
- Desert Pain and Rehab Spec
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
2005 Highway 60
Globe, AZ 85501-9601
Mailing address
11047 N 19TH Ave
Phoenix, AZ 85029-4816
Phone (602) 944-2222
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 306932 | Medicaid | AZ |
Other providers in Globe, AZ
- Russell Scott Dal Molin
- Jennifer Lyn Davis
- Natalija De Retana
- Desert Oasis Wellness Center, PLLC
- Desert Ophthalmology, P.C.
- Destiny School Inc.
- Diamond Dental Globe LLC
- Diamond M Dental Associates, LLC
- Helen Dike
- Jean Dili
All providers in Globe, AZ · Durable Medical Equipment & Medical Supplies in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.