# TUCSON PAIN TREATMENT CENTER, LLC

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

## Provider details

- **NPI number:** 1720467236
- **Authorized official:** DR. CHARLES R STEVENS M.D. (OWNER / PRESIDENT)
- **Authorized official phone:** (520) 886-7246

## Contact information

- **Practice address:** 6252 E GRANT RD, SUITE 100, TUCSON, AZ 85712-5803
- **Practice address phone:** (520) 886-7246
- **Practice address fax:** (520) 901-2929
- **Mailing address:** 6252 E GRANT RD, SUITE 100, TUCSON, AZ 85712-5803
- **Mailing address phone:** (520) 886-7246
- **Mailing address fax:** (520) 901-2929

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 41804 | AZ | Yes |

## Other

- **Enumeration date:** 05/29/2015
- **Last updated:** 05/29/2015