THE PAIN CENTER OF ARIZONA PC NPI 1578976924

NPI Information

THE PAIN CENTER OF ARIZONA, PC is a non pharmacy dispensing site in Gilbert, AZ. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) THE PAIN CENTER OF ARIZONA, PC NPI is 1578976924. The provider is registered as an organization entity type.
The provider Other Name Is Gilbert.

The provider's business location address is:

3645 S ROME ST
SUITE 216
GILBERT, AZ
ZIP 85297-336
Phone: (623) 516-8252
Fax: (623) 241-5081

The provider's authorized official is Claudia Grijalva .
The authorized official title is Credentialing and has the following contact phone number (623) 516-8252.

The CLIA number assigned to this NPI record is 03D1070237 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2014 and was last updated on 6/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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