Organization
PAIN MDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY PANNOZZO MD (MEDICAL DIRECTOR)
(623) 776-8686
Entity
Organization
Contact information
Practice address
2525 W CAREFREE HWY STE 134, PHOENIX, AZ 85085
(623) 580-4357
(623) 580-5249
Mailing address
2525 W CAREFREE HWY, SUITE 134, BUILDING 5, PHOENIX, AZ 85085-6093
(623) 580-4357
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
AZ
208VP0014X
Interventional Pain Medicine Physician
—
AZ
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670929
—
AZ
Enumeration date
06/11/2009
Last updated
09/06/2018
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