Organization
PHOENIX PAIN TREATMENT CENTERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVER JAY PENNY DC (MANAGING MEMBER)
(602) 362-4747
Entity
Organization
Contact information
Practice address
9140 W THOMAS RD STE B-106, PHOENIX, AZ 85037-3378
(602) 362-4747
(623) 463-1111
Mailing address
9140 W THOMAS RD STE B-106, PHOENIX, AZ 85037-3378
(602) 362-4747
(623) 463-1111
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
OTC8621
AZ
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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