Progressive Pain Management

LBN: Progressive Pain Management
Progressive Pain Management is an health care organization with primary practice located at 1653 E Mcmurray Blvd Ste 141 , Casa Grande AZ 85122-5934. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Progressive Pain Management can be contacted via phone (520) 836-8644, or through Edelen, George Roger via phone (520) 836-8644.

Contact Information

Primary practice address
1653 E Mcmurray Blvd Ste 141 Casa Grande AZ 85122-5934
Phone: (520) 836-8644
Fax: (520) 836-2499
Website:
Map and Directions
Authorized official contact:
Name: Edelen, George Roger Doctor of Medicine (MD)
Phone: (520) 836-8644

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X BE6939726 Arizona

Profile Details

NPI number 1588054274
LBN Legal business name Progressive Pain Management
DBA Doing business as
Authorized official Edelen, George Roger Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2015
Last updated Sep 6th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588054274 NPPES
Arizona MEDICAID 707698

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