Organization
DYNAMIC PAIN MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS MOSHIRI MD (DIRECTOR)
(424) 322-0980
Entity
Organization
Contact information
Practice address
4045 E BELL RD STE 149, PHOENIX, AZ 85032-2239
(602) 795-0207
Mailing address
10810 N TATUM BLVD, STE 102-302, PHOENIX, AZ 85028-6055
(424) 322-0980
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
34825
AZ
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
34825
AZ
Other
Enumeration date
05/10/2016
Last updated
04/23/2020
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