Organization
AZ PAIN SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VENUS LORRAINE GAINES RN (DIRECTOR OF NURSING)
(623) 486-1510
Entity
Organization
Contact information
Practice address
668 N 44TH ST, SUITE 100-W, PHOENIX, AZ 85008-6506
(623) 486-1510
(623) 486-1529
Mailing address
14100 N 83RD AVE, SUITE 260, PEORIA, AZ 85381-5658
(623) 486-1510
(623) 486-1529
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
04/04/2013
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