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Paincare Of Arizona, LLC

Clinic/Center, Medical Specialty in Avondale, AZ. Organization (NPI-2).

NPI number1861689986
StatusActive
Last updated in NPPESOct 2, 2007

Details

NPI
1861689986
Entity type
Organization (NPI-2)
Legal business name
Paincare Of Arizona, LLC
Organization subpart
No
Enumeration date
Oct 2, 2007
Last updated
Oct 2, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM2500X Clinic/Center, Medical SpecialtyOTC4249AZYes

Practice location

10815 W McDowell Rd
Suite 304
Avondale, AZ 85392-5007

Phone 623-433-0199 · Fax 623-433-0198

Mailing address

10815 W McDowell Rd
Suite 304
Avondale, AZ 85392-5007

Phone 623-433-0199 · Fax 623-433-0198

Authorized official

Sky Moore
Owner
6023322338

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