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Contact Information

ARIZONA SPINE AND PAIN SPECIALISTS LLC
7200 W BELL RD
STE F-101
GLENDALE, AZ85308
 Phone: 602-795-8700
 Fax: 602-795-8701
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for ARIZONA SPINE AND PAIN SPECIALISTS LLC

NPI # 1336552140
LBN Legal business name ARIZONA SPINE AND PAIN SPECIALISTS LLC
Authorized official PATRICK HOGAN - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/09/2014
Last updated 09/26/2023 - About 3 years ago
Identifiers
AZ Medicaid 947192
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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