# AZ PAIN SPECIALISTS, LLC

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

## Provider details

- **NPI number:** 1871846055
- **Authorized official:** MRS. VENUS LORRAINE GAINES RN (DIRECTOR OF NURSING)
- **Authorized official phone:** (623) 486-1510

## Contact information

- **Practice address:** 668 N 44TH ST, SUITE 100-W, PHOENIX, AZ 85008-6506
- **Practice address phone:** (623) 486-1510
- **Practice address fax:** (623) 486-1529
- **Mailing address:** 14100 N 83RD AVE, SUITE 260, PEORIA, AZ 85381-5658
- **Mailing address phone:** (623) 486-1510
- **Mailing address fax:** (623) 486-1529

## Taxonomy

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

## Other

- **Enumeration date:** 10/24/2012
- **Last updated:** 04/04/2013