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Contact Information

AZ PAIN MEDICINE CLINIC, LLC.
8805 N 23RD AVE STE 160
PHOENIX, AZ85021-4116
 Phone: 602-368-8800
 Fax: 602-368-8801
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

208VP0000X 72 Physician/Pain Management
Indicates primary specialty

NPI Profile & details for AZ PAIN MEDICINE CLINIC, LLC.

NPI Number 1497326615
LBN Legal business name AZ PAIN MEDICINE CLINIC, LLC.
Authorized official JASON MOORE - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/08/2021
Last updated 07/08/2021 - About 5 years ago
Identifiers n/a
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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