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Organization

IZZY PAIN MANGEMENT P C

Active
Other names
Izzy Pain and Wellness PC
Organization subpart
No

Provider details

NPI number
Authorized official
EDITH C IZUEGBUNAM (ADMINISTRATOR)
(602) 595-2986
Entity
Organization

Contact information

Practice address
8910 N 43RD AVE STE 104, GLENDALE, AZ 85302-5340
(602) 595-2986
(602) 595-3041
Mailing address
44047 N 43RD AVE, PHOENIX, AZ 85087-6100
(602) 595-2986
(602) 595-3041

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
31461
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
331102
AZ
05
793837
AZ
Enumeration date
03/04/2008
Last updated
09/24/2025
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