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Organization
TUCSON PAIN INSTITUTE PC
Active
Organization
TUCSON PAIN INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R STEVENS MD (OWNER)
(928) 276-3049
Entity
Organization
Contact information
Practice address
5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
(928) 577-2371
(833) 449-4058
Mailing address
5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
(928) 577-2371
(833) 449-4058
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
41804
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
A104563
CA
Other
Enumeration date
06/11/2014
Last updated
09/30/2025
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