Organization
PAINCARE OF ARIZONA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKY MOORE (OWNER)
(602) 332-2338
Entity
Organization
Contact information
Practice address
10815 W MCDOWELL RD, SUITE 304, AVONDALE, AZ 85392-5007
(623) 433-0199
(623) 433-0198
Mailing address
10815 W MCDOWELL RD, SUITE 304, AVONDALE, AZ 85392-5007
(623) 433-0199
(623) 433-0198
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
OTC4249
AZ
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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