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Organization
ANTHEM PAIN MANAGEMENT, LLC
Active
Organization
ANTHEM PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH R SUTTON FNP (FAMILY NURSE PRACTITIONER)
(623) 341-8469
Entity
Organization
Contact information
Practice address
41818 N VENTURE DR STE 150, ANTHEM, AZ 85086-3190
(623) 341-8469
(623) 551-6900
Mailing address
41818 N VENTURE DR STE 150, ANTHEM, AZ 85086-3190
(716) 812-6664
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AP3009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506568
—
AZ
01
—
AP3009
AZ NP LICENSE
AZ
Enumeration date
07/22/2014
Last updated
12/05/2025
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