Organization
ARIZONA SURGICAL PAIN CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELANIE GROSS (VP OF REVENUE CYCLE)
(214) 615-5168
Entity
Organization
Contact information
Practice address
3655 W ANTHEM WAY, SUITE A-109, ANTHEM, AZ 85086-0430
(214) 615-5168
Mailing address
PO BOX 3837, CAROL STREAM, IL 60132-3837
(214) 615-5168
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
23067
WV
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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