# MOUNTAIN VIEW PAIN AND WELLNESS INC

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

## Provider details

- **NPI number:** 1255166120
- **Authorized official:** RUCHIR GUPTA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (917) 443-1263

## Contact information

- **Practice address:** 4105 N 20TH ST STE 130, PHOENIX, AZ 85016-6039
- **Practice address phone:** (602) 767-0008
- **Mailing address:** 4105 N 20TH ST STE 130, PHOENIX, AZ 85016-6039
- **Mailing address phone:** (602) 767-0008

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/03/2024
- **Last updated:** 09/09/2026