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Organization
AZ PAIN SPECIALISTS, LLC
Active
Organization
AZ PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENUS LORRAINE GAINES RN (DIRECTOR OF NURSING)
(623) 486-1510
Entity
Organization
Contact information
Practice address
668 N 44TH ST, SUITE 100-W, PHOENIX, AZ 85008-6506
(623) 486-1510
(623) 486-1529
Mailing address
14100 N 83RD AVE, SUITE 260, PEORIA, AZ 85381-5658
(623) 486-1510
(623) 486-1529
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/24/2012
Last updated
04/04/2013
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