| Center for Pain Control | |
|
3306 W Roosevelt St Phoenix AZ 85009-3404 | |
| (602) 889-9401 | |
| (602) 269-7772 |
| Full Name | Center for Pain Control |
|---|---|
| Speciality | Clinic/center |
| Location | 3306 W Roosevelt St, Phoenix, Arizona |
| Authorized Official Name and Position | Rose Mata-espinoza (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 6026878219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Pain Control 4220 N 20th Ave Phoenix AZ 85015-5124 Ph: (602) 889-9401 | Center for Pain Control 3306 W Roosevelt St Phoenix AZ 85009-3404 Ph: (602) 889-9401 |
| NPI Number | 1033359419 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 07/21/2022 |
| Certification Date | 09/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359419 | NPI | - | NPPES |
| 444776 | Medicaid | AZ |
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