# TUCSON PAIN INSTITUTE PC

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

## Provider details

- **NPI number:** 1295148856
- **Authorized official:** DR. CHARLES R STEVENS MD (OWNER)
- **Authorized official phone:** (928) 276-3049

## Contact information

- **Practice address:** 5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
- **Practice address phone:** (928) 577-2371
- **Practice address fax:** (833) 449-4058
- **Mailing address:** 5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
- **Mailing address phone:** (928) 577-2371
- **Mailing address fax:** (833) 449-4058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 41804 | AZ | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | A104563 | CA | — |

## Other

- **Enumeration date:** 06/11/2014
- **Last updated:** 09/30/2025
