Organization
PAIN SPECIALTY SURGICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHDEV KUPPUSAMY MD (OWNER/MEDICAL DIRECTOR)
(480) 550-9393
Entity
Organization
Contact information
Practice address
3303 E BASELINE RD STE 104, GILBERT, AZ 85234-2739
(480) 550-9393
Mailing address
3370 S MERCY RD STE 321, GILBERT, AZ 85297-0417
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
04/27/2020
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