Pinetop-Lakeside Integrative & Physical Medicine, LLC
Pinetop-Lakeside Integrative & Physical Medicine, LLC is a Physical Medicine & Rehabilitation Physician in Lakeside, Arizona. Licensed in Arizona. Registered with an NPI since 2010.
- Licensed in
- AZ
- In the registry since
- 2010
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1628 Reed LnLakeside, AZ 85929-6983
Phone: (928) 358-1648
Fax: (928) 368-5178
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pain Medicine (Physical Medicine & Rehabilitation) Physician (primary) | Taxonomy 2081P2900X · Licence 34673 (AZ) |
|---|---|
| Physical Medicine & Rehabilitation Physician | Taxonomy 208100000X · Licence 34673 (AZ) |
Record details
| NPI number | 1376864462 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kevin Mar — Manager · (928) 358-1648 |
| NPI enumerated | June 13, 2010 |
| Last updated in NPPES | June 13, 2010 |
| Mailing address | 1628 Reed Ln, Lakeside, AZ 85929-6983 |