Organization
THE PAIN CENTER OF ARIZONA, PC
Active
Other names
The Pain Center of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
CATHY HARDESTY (VP ADMIN OPERATIONS)
(623) 241-6101
Entity
Organization
Contact information
Practice address
20333 N 19TH AVE STE 100, PHOENIX, AZ 85027-3602
(623) 516-8252
(623) 516-8253
Mailing address
5281 N 99TH AVE STE 100, GLENDALE, AZ 85305-2209
(623) 516-8252
(623) 516-8253
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
01/02/2007
Last updated
08/23/2023
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