# PAIN MDS INC

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

## Provider details

- **NPI number:** 1649407180
- **Authorized official:** PAUL ANTHONY PANNOZZO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (623) 776-8686

## Contact information

- **Practice address:** 2525 W CAREFREE HWY STE 134, PHOENIX, AZ 85085
- **Practice address phone:** (623) 580-4357
- **Practice address fax:** (623) 580-5249
- **Mailing address:** 2525 W CAREFREE HWY, SUITE 134, BUILDING 5, PHOENIX, AZ 85085-6093
- **Mailing address phone:** (623) 580-4357

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | AZ | — |
| 208VP0014X | Interventional Pain Medicine Physician | — | AZ | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | AZ | Yes |

## Other

- **Enumeration date:** 06/11/2009
- **Last updated:** 09/06/2018