Pain Institute Of Southern Arizona Pisa PC
Pain Medicine, Interventional Pain Medicine in Tucson, AZ. Organization (NPI-2).
NPI number1669934014
StatusActive
Last updated in NPPESMay 12, 2021
Details
- NPI
- 1669934014
- Entity type
- Organization (NPI-2)
- Legal business name
- Pain Institute Of Southern Arizona Pisa PC
- Organization subpart
- No
- Enumeration date
- Apr 4, 2019
- Certification date
- Mar 24, 2021
- Last updated
- May 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208VP0014X | Pain Medicine, Interventional Pain Medicine | – | – | Yes |
Practice location
7140 E Rosewood StreetSuite 110
Tucson, AZ 85710
Phone 520-318-5035 · Fax 520-795-9953
Mailing address
4881 E Grant RoadSuite 101
Tucson, AZ 85712
Phone 520-318-6035 · Fax 520-795-9953
Authorized official
John H Cole
Ceo
5204904200
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