Organization
ARIZONA PAIN PHYSICIANS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA D GOLLIHAR (MANAGER)
(623) 486-1510
Entity
Organization
Contact information
Practice address
668 N 44TH ST, SUITE100-W, PHOENIX, AZ 85008-6506
(602) 840-3705
(623) 486-1529
Mailing address
668 N 44TH ST, SUITE 100 W, PHOENIX, AZ 85008-6506
(602) 840-3705
(623) 486-1529
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Z139363
PTAN
AZ
Enumeration date
06/15/2010
Last updated
01/10/2012
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