Healthcare Provider Details

I. General information

NPI: 1225375926
Provider Name (Legal Business Name): VALLEY INTEGRATED PAIN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2013
Last Update Date: 05/22/2022
Certification Date: 05/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3501 N SCOTTSDALE RD STE 221
SCOTTSDALE AZ
85251-5649
US

IV. Provider business mailing address

8390 E. VIA DE VENTURA F-110, #123
SCOTTSDALE AZ
85258-3188
US

V. Phone/Fax

Practice location:
  • Phone: 480-422-8510
  • Fax: 480-422-8512
Mailing address:
  • Phone: 480-422-8510
  • Fax: 480-422-8512

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP3300X
TaxonomyPain Clinic/Center
License Number
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEVEN H EISENFELD
Title or Position: OWNER/PHYSICIAN
Credential: MD
Phone: 480-422-8510