# AZ PAIN CONSULTANTS LLC

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

## Provider details

- **NPI number:** 1568874683
- **Authorized official:** BOSCO C MARTIN MD (MANAGER)
- **Authorized official phone:** (602) 395-0718

## Contact information

- **Practice address:** 20950 N TATUM BLVD, SUITE 220, PHOENIX, AZ 85050-4200
- **Practice address phone:** (602) 395-0718
- **Practice address fax:** (602) 277-8146
- **Mailing address:** PO BOX 39179, PHOENIX, AZ 85069-9179
- **Mailing address phone:** (602) 395-0718
- **Mailing address fax:** (602) 277-8146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2014
- **Last updated:** 05/22/2014