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Contact Information

ARIZONA PAIN SPECIALISTS, PLLC
18555 N 79TH AVE
SUITE E101
GLENDALE, AZ85308-8370
 Phone: 623-878-7246
 Fax: 623-878-7245
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for ARIZONA PAIN SPECIALISTS PLLC · (Female)

NPI # 1316192602
Status Active
Credentials
Entity Individual
Enumeration date 12/01/2008
Last updated 06/23/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 35497
  • AZ License # 36803
  • AZ License # 41788
  • AZ Medicaid 399751
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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