Organization
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W HOGAN DO (MEMBER/MANAGING EMPLOYEE)
(602) 795-8700
Entity
Organization
Contact information
Practice address
1760 E FLORENCE BLVD STE 140, CASA GRANDE, AZ 85122-4765
(602) 795-8700
(602) 795-8701
Mailing address
20280 N 59TH AVE, STE 115-617, GLENDALE, AZ 85308-6850
(602) 795-8700
(602) 795-8701
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947192
—
AZ
01
—
Z172895
MEDICARE PTAN
AZ
Enumeration date
03/01/2016
Last updated
11/05/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up