Organization
PAIN-MDS AMBULATORY SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANNA WELLS (CREDENTIALING SPECIALIST)
(623) 334-4000
Entity
Organization
Contact information
Practice address
16390 N. 59TH AVE, SUITE 100, GLENDALE, AZ 85306
(623) 334-4000
(623) 334-4400
Mailing address
16390 N 59TH AVE STE 100, GLENDALE, AZ 85306-1711
(623) 334-4000
(623) 334-4400
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
AZ
Other
Enumeration date
02/21/2008
Last updated
01/10/2025
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