Organization
THE PAIN CENTER OF ARIZONA, PC
Active
Parent organization
THE PAIN CENTER OF ARIZONA, PC
Other names
Peoria DME
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE PAIN CENTER OF ARIZONA, PC
Authorized official
CATHY HARDESTY (DIRECTOR OF ADMIN OPERATIONS)
(623) 241-6101
Entity
Organization
Contact information
Practice address
9401 W THUNDERBIRD RD, SUITE 180, PEORIA, AZ 85381-4233
(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
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
09/10/2015
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