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Organization

PLATINUM PAIN MANAGEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MOSHIRI (MEMBER)
(424) 322-0980
Entity
Organization

Contact information

Practice address
4045 E BELL RD STE 147, PHOENIX, AZ 85032-2239
(602) 795-0207
Mailing address
10810 N TATUM BLVD, STE 102-302, PHOENIX, AZ 85028-6055
(424) 322-0980

Taxonomy

Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
34825
AZ
2085R0202X
Diagnostic Radiology Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
34825
AZ

Other

Enumeration date
01/25/2017
Last updated
04/23/2020
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