Organization
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Active
Other names
AZ Pain Doctors
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK HOGAN DO (MEMBER/MANAGING EMPLOYEE)
(602) 795-8700
Entity
Organization
Contact information
Practice address
1325 N LITCHFIELD RD STE 201, GOODYEAR, AZ 85395-1213
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE # 115-617, GLENDALE, AZ 85308-6850
(026) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947192
—
AZ
01
—
Z172895
MEDICARE PTAN
AZ
Enumeration date
05/31/2016
Last updated
07/21/2022
Update your record
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