Organization
TUCSON PAIN INSTITUTE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R STEVENS MD (OWNER)
(928) 276-3049
Entity
Organization
Contact information
Practice address
5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
(928) 577-2371
(833) 449-4058
Mailing address
5717 HWY 95 STE 6, FORT MOHAVE, AZ 86426-6050
(928) 577-2371
(833) 449-4058
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
41804
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
A104563
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
918573
—
AZ
Enumeration date
06/11/2014
Last updated
09/30/2025
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