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Organization
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Active
Organization
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Active
Parent organization
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Other names
Pain Institute of Southern Arizona PISA PC, The Pain Institute of Southern Arizona PISA PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Authorized official
DR. KENNETH B GOSSLER MD (PHYSICIAN/OWNER)
(520) 318-6035
Entity
Organization
Contact information
Practice address
4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
(520) 336-5174
(520) 795-9953
Mailing address
4582 N 1ST AVE STE 170, TUCSON, AZ 85718-8607
(520) 505-3766
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/13/2017
Last updated
01/28/2021
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