Organization · NPI-2

Arizona Pain And Spine Institute PLLC

Pain Medicine, Interventional Pain Medicine · Mesa, AZ

NPI number1316147242
StatusActive
Last updated in NPPESJul 21, 2009

Details

NPI
1316147242
Entity type
Organization (NPI-2)
Legal business name
Arizona Pain And Spine Institute PLLC
Organization subpart
No
Enumeration date
Jul 19, 2007
Last updated
Jul 21, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0014X Pain Medicine, Interventional Pain Medicine36668AZYes
2081P2900X Physical Medicine & Rehabilitation, Pain Medicine36668AZ

Practice location

2045 S Vineyard
Suite 131
Mesa, AZ 85210-6889

Phone 480-986-7246 · Fax 480-986-7252

Mailing address

Po Box 3187
Tempe, AZ 85280-3187

Phone 480-986-7246 · Fax 480-986-7252

Authorized official

Asim Khan
Member
3123150024

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pain Medicine, Interventional Pain Medicine providers in Mesa, AZ