# PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC

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- **Entity:** Organization
- **Status:** 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:** 1619407533
- **Legal business name:** PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
- **Authorized official:** DR. KENNETH B GOSSLER MD (PHYSICIAN/OWNER)
- **Authorized official phone:** (520) 318-6035

## Contact information

- **Practice address:** 4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
- **Practice address phone:** (520) 336-5174
- **Practice address fax:** (520) 795-9953
- **Mailing address:** 4582 N 1ST AVE STE 170, TUCSON, AZ 85718-8607
- **Mailing address phone:** (520) 505-3766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/13/2017
- **Last updated:** 01/28/2021