# PAIN & WELLNESS OF ARIZONA, LLC

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

## Provider details

- **NPI number:** 1154967750
- **Authorized official:** MR. JOHN EBY (PRESIDENT)
- **Authorized official phone:** (602) 679-7676

## Contact information

- **Practice address:** 3120 E UNION HILLS DR STE 201, PHOENIX, AZ 85050-3454
- **Practice address phone:** (602) 679-7676
- **Mailing address:** 3004 N CIVIC CENTER PLZ, SCOTTSDALE, AZ 85251-6904

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/19/2019
- **Last updated:** 11/19/2019