Organization
ARIZONA SPINE AND PAIN SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK W HOGAN DO (MEMBER)
(602) 795-8700
Entity
Organization
Contact information
Practice address
7200 W BELL RD, STE F-101, GLENDALE, AZ 85308
(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
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947192
—
AZ
Enumeration date
06/09/2014
Last updated
09/26/2023
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