Healthcare Provider Details

I. General information

NPI: 1871650739
Provider Name (Legal Business Name): PAIN CENTER OF ARIZONA PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 W THUNDERBIRD RD STE 180
PEORIA AZ
85381-4210
US

IV. Provider business mailing address

9401 W THUNDERBIRD RD STE 180
PEORIA AZ
85381-4210
US

V. Phone/Fax

Practice location:
  • Phone: 623-516-8252
  • Fax: 623-516-8253
Mailing address:
  • Phone: 623-516-8252
  • Fax: 623-516-8253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN SIWEK
Title or Position: PRESIDENT
Credential: MD
Phone: 623-516-8252