Basic Information
| Provider Information | |||||||||
| NPI: | 1356636393 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | MICHAEL G VALPIANI MD AZ LTD | ||||||||
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| OtherOrganizationName: | A BETTER LIFE PAIN TREATMENT CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 15070 | ||||||||
| Address2: | |||||||||
| City: | SCOTTSDALE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852675070 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2102936009 | ||||||||
| FaxNumber: | 2102936022 | ||||||||
| Practice Location | |||||||||
| Address1: | 1750 S RAILROAD SPRINGS BLVD | ||||||||
| Address2: | STE 8 | ||||||||
| City: | FLAGSTAFF | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 860018720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9287743997 | ||||||||
| FaxNumber: | 9287743998 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/17/2011 | ||||||||
| LastUpdateDate: | 01/03/2012 | ||||||||
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| AuthorizedOfficialLastName: | KIGER | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | CREDENTIALING & PROVIDER ENROLLMENT | ||||||||
| AuthorizedOfficialTelephone: | 2102936009 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP3300X | Y | Ambulatory Health Care Facilities | Clinic/Center | Pain |
No ID Information.