PAINCARE OF ARIZONA II LLC NPI 1811159437

NPI Information

NPI: 1811159437
Provider Name: PAINCARE OF ARIZONA II, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
14175 W INDIAN SCHOOL RD
SUITE B-4-517
GOODYEAR, AZ
ZIP 85395
Phone: (602) 488-4558
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PAINCARE OF ARIZONA II, LLC is a multi-specialty clinic center in Goodyear, AZ. PAINCARE OF ARIZONA II, LLC NPI is 1811159437. The provider is registered as an organization entity type.

The provider's business location address is:

14175 W INDIAN SCHOOL RD
SUITE B-4-517
GOODYEAR, AZ
ZIP 85395-407
Phone: (602) 488-4558

The provider's authorized official is Sky C Moore .
The authorized official title is Owner and has the following contact phone number (602) 488-4558.

The enumeration date for this NPI number is 6/25/2008 and was last updated on 6/25/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	4249	ARIZONA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4249	OTHER	ARIZONA	OTC

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: 4/28/2024

NPI Synchronization or Removal

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