Organization
PAIN AND SPINE TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA HERNANDEZ (DIRECTOR)
(602) 343-2907
Entity
Organization
Contact information
Practice address
16620 N 40TH ST STE D1, PHOENIX, AZ 85032-3350
(480) 565-7346
Mailing address
2345 E THOMAS RD STE 400, PHOENIX, AZ 85016-7862
(602) 343-2941
(623) 748-5540
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/16/2017
Last updated
07/02/2019
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