Organization
PHOENIX PAIN TREATMENT CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR PENNY (OWNER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
9140 W THOMAS RD STE B-106, PHOENIX, AZ 85037-3378
(602) 395-0718
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 643-7964
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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