Organization
AZ PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOSCO C MARTIN MD (MANAGER)
(602) 395-0718
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, SUITE 220, PHOENIX, AZ 85050-4200
(602) 395-0718
(602) 277-8146
Mailing address
PO BOX 39179, PHOENIX, AZ 85069-9179
(602) 395-0718
(602) 277-8146
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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