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Contact Information

THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C
4611 E. SHEA BLVD. BLDG. 3
SUITE 190
PHOENIX, AZ85028-4258
 Phone: 480-889-0180
 Fax: 480-889-0186
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
 

Hospice and Palliative Medicine

207LH0002X 05 Physician/Anesthesiology
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for THE CENTER FOR PAIN AND SUPPORTIVE CARE P L L C · (Female)

NPI # 1104009265
Status Active
Credentials
Entity Individual
Enumeration date 12/12/2007
Last updated 03/25/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • AZ License # 24521
  • AZ Medicaid 518589
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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