Organization
PIONEER PAIN SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRICK THOMAS (MD, OWNER)
(480) 377-4360
Entity
Organization
Contact information
Practice address
3011 S LINDSAY RD STE 113, GILBERT, AZ 85295-4334
(480) 377-4360
Mailing address
3011 S LINDSAY RD STE 113, GILBERT, AZ 85295-4334
(480) 377-4360
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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