# PAINCARE OF ARIZONA, LLC

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

## Provider details

- **NPI number:** 1861689986
- **Authorized official:** SKY MOORE (OWNER)
- **Authorized official phone:** (602) 332-2338

## Contact information

- **Practice address:** 10815 W MCDOWELL RD, SUITE 304, AVONDALE, AZ 85392-5007
- **Practice address phone:** (623) 433-0199
- **Practice address fax:** (623) 433-0198
- **Mailing address:** 10815 W MCDOWELL RD, SUITE 304, AVONDALE, AZ 85392-5007
- **Mailing address phone:** (623) 433-0199
- **Mailing address fax:** (623) 433-0198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | OTC4249 | AZ | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 10/02/2007