Pain Institute Of Southern Arizona Pisa Pc

LBN: Pain Institute Of Southern Arizona Pisa Pc
Pain Institute Of Southern Arizona Pisa Pc is an health care organization with primary practice located at 36453 N Gantzel Rd Ste 101 , San Tan Valley AZ 85140-7340. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as the primary health care specialty. Pain Institute Of Southern Arizona Pisa Pc can be contacted via phone (480) 636-1225, or through Irwin, Jennifer L via phone (520) 829-6776.

Contact Information

Primary practice address
36453 N Gantzel Rd Ste 101 San Tan Valley AZ 85140-7340
Phone: (480) 636-1225
Fax: (480) 636-8890
Website:
Map and Directions
Authorized official contact:
Name: Irwin, Jennifer L
Phone: (520) 829-6776

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X

Profile Details

NPI number 1780268912
LBN Legal business name Pain Institute Of Southern Arizona Pisa Pc
DBA Doing business as
Authorized official Irwin, Jennifer L
Entity Organization
Organization subpart 1 Yes
Enumeration date May 12th, 2021
Last updated May 12th, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780268912 NPPES
Arizona MEDICAID 954926

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