Provider Demographics
NPI:1053688465
Name:PAIN MANAGEMENT PRODUCTS, INC.
Entity Type:Organization
Organization Name:PAIN MANAGEMENT PRODUCTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:REIFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-344-8312
Mailing Address - Street 1:4961 EAST GRANT ROAD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-344-8312
Mailing Address - Fax:
Practice Address - Street 1:6161 E GRANT RD
Practice Address - Street 2:6104
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-5812
Practice Address - Country:US
Practice Address - Phone:520-344-8312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies