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PEORIA PAIN PHYSICIANS NPI 1588996151


NPI Information

NPI: 1588996151
Provider Name: PEORIA PAIN PHYSICIANS
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
15262 N 75TH AVE
SUITE 400 A
PEORIA, AZ
ZIP 85381
Phone: (623) 486-1510
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PEORIA PAIN PHYSICIANS is an interventional pain medicine pain medicine in Peoria, AZ. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PEORIA PAIN PHYSICIANS NPI is 1588996151. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15262 N 75TH AVE
SUITE 400 A
PEORIA, AZ
ZIP 85381-763
Phone: (623) 486-1510
Fax: (623) 486-1529

The provider's authorized official is Cynthia D Gollihar .
The authorized official title is Manager and has the following contact phone number (623) 486-1510.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 10/21/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0014XPain MedicineInterventional Pain MedicineYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1Z138995OTHERARIZONAPTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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