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Organization
PAIN CENTERS OF AMERICA, LLC
Active
Organization
PAIN CENTERS OF AMERICA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GEORGE THEOFILIS DO (PRESIDENT)
(412) 477-4493
Entity
Organization
Contact information
Practice address
9100 EAST RAINTREE DRIVE, SUITE 248, SCOTTSDALE, AZ 85260
(412) 477-4493
Mailing address
9100 E RAINTREE DR, SUITE 248, SCOTTSDALE, AZ 85260-2762
(412) 477-4493
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
006356
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
OS015718
PA
Other
Enumeration date
12/16/2014
Last updated
12/16/2014
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