Organization
THE PAIN CENTER OF ARIZONA, PC
Active
Parent organization
THE PAIN CENTER OF ARIZONA, PC
Other names
DV-202
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Authorized official
CLAUDIA GRIJALVA (CREDENTIALING)
(623) 241-6152
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 202, PHOENIX, AZ 85027-4013
(623) 516-8252
(623) 241-5021
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
06/04/2014
Last updated
06/04/2014
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