# OMEGA MEDICAL & PAIN MANAGEMENT, PLLC

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

## Provider details

- **NPI number:** 1104322023
- **Authorized official:** ERIC CHURCH MD (MEMBER)
- **Authorized official phone:** (414) 982-5977

## Contact information

- **Practice address:** 4515 S MCCLINTOCK DR STE 114, TEMPE, AZ 85282-7381
- **Practice address phone:** (414) 820-5603
- **Mailing address:** 10810 N TATUM BLVD STE 102302, PHOENIX, AZ 85028-0503
- **Mailing address phone:** (414) 982-5977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 48629 | AZ | Yes |

## Other

- **Enumeration date:** 03/30/2018
- **Last updated:** 03/30/2018