# PHOENIX INTERVENTIONAL PAIN MANAGEMENT, PLLC

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

## Provider details

- **NPI number:** 1083100812
- **Authorized official:** DR. JENNIFER DAIS MD (OWNER)
- **Authorized official phone:** (623) 231-5595

## Contact information

- **Practice address:** 3815 E BELL RD STE 3500A, PHOENIX, AZ 85032
- **Practice address phone:** (623) 231-5595
- **Practice address fax:** (623) 231-5595
- **Mailing address:** 6812 W MORROW DR, GLENDALE, AZ 85308-5742
- **Mailing address phone:** (623) 363-3223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 52011 | AZ | Yes |

## Other

- **Enumeration date:** 07/04/2018
- **Last updated:** 07/19/2018