Organization
ARIZONA SPINE AND PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK WILLIAM HOGAN DO (OWNER)
(602) 795-8700
Entity
Organization
Contact information
Practice address
10565 N TATUM BLVD STE B116, PARADISE VALLEY, AZ 85253-1095
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE # 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
04/03/2019
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