Healthcare Provider Details

I. General information

NPI: 1720681802
Provider Name (Legal Business Name): CENTER FOR PAIN SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/19/2020
Last Update Date: 11/19/2020
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4910 W RAY RD STE 2
CHANDLER AZ
85226-6221
US

IV. Provider business mailing address

4910 W RAY RD STE 2
CHANDLER AZ
85226-6221
US

V. Phone/Fax

Practice location:
  • Phone: 480-855-0557
  • Fax:
Mailing address:
  • Phone: 480-855-0557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: HEATHER ROPOS
Title or Position: MANAGER
Credential:
Phone: 480-855-0557