# ARIZONA SURGICAL PAIN CONSULTANTS PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053747220
- **Authorized official:** MS. MELANIE GROSS (VP OF REVENUE CYCLE)
- **Authorized official phone:** (214) 615-5168

## Contact information

- **Practice address:** 3655 W ANTHEM WAY, SUITE A-109, ANTHEM, AZ 85086-0430
- **Practice address phone:** (214) 615-5168
- **Mailing address:** PO BOX 3837, CAROL STREAM, IL 60132-3837
- **Mailing address phone:** (214) 615-5168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | 23067 | WV | Yes |

## Other

- **Enumeration date:** 09/19/2013
- **Last updated:** 09/19/2013