Organization
THE PAIN CENTER OF ARIZONA
Active
Parent organization
THE PAIN CENTER OF ARIZONA, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Authorized official
CATHY HARDESTY (DIRECTOR OF ADMIN OP)
(623) 241-6101
Entity
Organization
Contact information
Practice address
3900 E CAMELBACK RD, SUITE 190, PHOENIX, AZ 85018-2614
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE, SUITE 100, GLENDALE, AZ 85305-3105
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
29038
AZ
Other
Enumeration date
01/17/2013
Last updated
08/04/2014
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