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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

NPI # 1316192602
LBN Legal business name ARIZONA PAIN SPECIALISTS, PLLC
Authorized official PAUL LYNCH - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2008
Last updated 06/23/2022 - About 4 years ago
Identifiers
AZ License # 35497
AZ License # 36803
AZ License # 41788
AZ Medicaid 399751
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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