# FLAGSTAFF PAIN AND TREATMENT CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Flagstaff Pain and Treatment Center, L.L.C.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568009801
- **Authorized official:** SUSAN NANCE RN (MANAGER)
- **Authorized official phone:** (602) 903-0360

## Contact information

- **Practice address:** 823 N SAN FRANCISCO ST STE A, FLAGSTAFF, AZ 86001-3265
- **Practice address phone:** (602) 903-0360
- **Mailing address:** 11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
- **Mailing address phone:** (602) 903-0360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/05/2019
- **Last updated:** 12/29/2020