Organization
PAIN INSTITUTE OF SOUTHERN ARIZONA PISA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN H COLE (CEO)
(520) 490-4200
Entity
Organization
Contact information
Practice address
7140 E ROSEWOOD STREET, SUITE 110, TUCSON, AZ 85710
(520) 318-5035
(520) 795-9953
Mailing address
4881 E GRANT ROAD, SUITE 101, TUCSON, AZ 85712
(520) 318-6035
(520) 795-9953
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
954926
—
AZ
Enumeration date
04/04/2019
Last updated
05/12/2021
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