CACTUS PAIN SOLUTIONS, LLC - NPI 1477199701 - General Practice in Peoria, AZ

Q: What is the provider's specialty?

The provider's specialty is General Practice with taxonomy code 208D00000X.

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About Cactus Pain Solutions, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CACTUS PAIN SOLUTIONS, LLC (NPI 1477199701) is a healthcare organization registered as a general practice in Peoria, Arizona and active in the NPI registry since November 2019. The organization lists Brandon Kulp, Owner, as its authorized official.

NPPES Registry Identity

NPI1477199701

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameCACTUS PAIN SOLUTIONS, LLC

Location Address20255 N LAKE PLEASANT RD STE 102Peoria, AZ 85382-9747

Mailing Address20255 N Lake Pleasant Rd Ste 102Peoria, AZ 85382-9747

Phone(623) 376-8225

Organization SubpartNo

Authorized OfficialBrandon KulpOwner · (623) 376-8225

Enumeration DateNovember 21, 2019

✔ NPI 1477199701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

20255 N LAKE PLEASANT RD STE 102, Peoria, AZ 85382

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP