Organization · NPI-2

Arizona Pain Treatment Center P C

Pain Medicine, Interventional Pain Medicine · Mesa, AZ

NPI number1083479455
StatusActive
Last updated in NPPESFeb 15, 2024

Details

NPI
1083479455
Entity type
Organization (NPI-2)
Legal business name
Arizona Pain Treatment Center P C
Organization subpart
No
Enumeration date
Feb 15, 2024
Certification date
Feb 15, 2024
Last updated
Feb 15, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine––Yes

Practice location

4860 E Baseline Rd Ste 103
Mesa, AZ 85206-4670

Phone 602-254-6879

Mailing address

8805 N 23rd Ave Ste 120
Phoenix, AZ 85021-4149

Phone 602-254-6879

Authorized official

James Adkins
Owner
6022658800

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