Organization
PAIN ARIZONA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MESHEA KATELYN KROL (CREDENTIALING ASSISTANT)
(602) 577-7914
Entity
Organization
Contact information
Practice address
34522 N SCOTTSDALE RD STE 120-138, SCOTTSDALE, AZ 85266-1224
(480) 563-6400
Mailing address
34522 N SCOTTSDALE RD STE 120-138, SCOTTSDALE, AZ 85266-1224
(480) 563-6400
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
03/26/2020
Last updated
03/26/2020
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