# PIONEER PAIN SPECIALISTS PLLC

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

## Provider details

- **NPI number:** 1205420288
- **Authorized official:** KENDRICK THOMAS (MD, OWNER)
- **Authorized official phone:** (480) 377-4360

## Contact information

- **Practice address:** 3011 S LINDSAY RD STE 113, GILBERT, AZ 85295-4334
- **Practice address phone:** (480) 377-4360
- **Mailing address:** 3011 S LINDSAY RD STE 113, GILBERT, AZ 85295-4334
- **Mailing address phone:** (480) 377-4360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | — |
| 207L00000X | Anesthesiology Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 208VP0014X | Interventional Pain Medicine Physician | — | NULL | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/22/2021
- **Last updated:** 02/22/2021