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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
Regional Pain Institute, Regional Pain Institute
Organization subpart
Yes
Provider details
NPI number
Legal business name
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Authorized official
JENNIFER L IRWIN (CREDENTIALING MANAGER)
(520) 829-6776
Entity
Organization
Contact information
Practice address
36453 N GANTZEL RD STE 101, SAN TAN VALLEY, AZ 85140-7340
(480) 636-1225
(480) 636-8890
Mailing address
4881 E GRANT RD STE 101, TUCSON, AZ 85712-2704
(520) 318-6035
(520) 795-9953
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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