# PHOENIX PREMIERE PAIN, LLC

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

## Provider details

- **NPI number:** 1336544964
- **Authorized official:** LYNN DUGGER (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (214) 872-3381

## Contact information

- **Practice address:** 6245 N 16TH ST, PHOENIX, AZ 85016-1706
- **Practice address phone:** (602) 253-4271
- **Practice address fax:** (214) 872-3387
- **Mailing address:** 6351 PRESTON RD STE 295, FRISCO, TX 75034-6422
- **Mailing address phone:** (214) 872-3381
- **Mailing address fax:** (214) 872-3387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | OSC 4400 | AZ | Yes |

## Other

- **Enumeration date:** 10/24/2014
- **Last updated:** 10/24/2014