Organization
URGENT PAIN, LLC
Active
Other names
Pain MD
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS GOMEZ (CREDENTIALING MANAGER)
(480) 612-7480
Entity
Organization
Contact information
Practice address
6025 N. 27TH AVE, SUITE 6, PHOENIX, AZ 85017
(602) 428-8888
(602) 566-8149
Mailing address
7301 E. 2ND ST., SUITE 200, SCOTTSDALE, AZ 85251-5610
(480) 994-5977
(480) 990-9397
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124152
—
AZ
Enumeration date
01/06/2016
Last updated
01/25/2018
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