Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southwest Prime Consulting Services

Organization Pain Medicine Physician · NPI 1275389306

Southwest Prime Consulting Services is a Pain Medicine Physician in Mesa, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

1747 E Garnet Ave
Mesa, AZ 85204-6013
Phone: (480) 388-7585
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X
Interventional Pain Medicine Physician Taxonomy 208VP0014X

Record details

NPI number1275389306
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Justin Tyler — Chief Executive Officer · (480) 388-7585
Other names Premier Health Network; Premier Health Network; Southwest Prime Consulting Services
NPI enumeratedApril 29, 2024
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing address1747 E Garnet Ave, Mesa, AZ 85204-6013

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