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Organization

THE PAIN CENTER OF ARIZONA, PC

Active
Parent organization
THE PAIN CENTER OF ARIZONA,PC
Other names
DV 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
20333 N 19TH AVE STE 100, PHOENIX, AZ 85027
(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
AZ

Other

Enumeration date
07/17/2014
Last updated
06/14/2018
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