Healthcare Provider Details

I. General information

NPI: 1619344066
Provider Name (Legal Business Name): ARIZONA PAIN SPECIALISTS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2015
Last Update Date: 09/01/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 HERITAGE RD SUITE 100
GOLDEN CO
80401-3600
US

IV. Provider business mailing address

PO BOX 748447
LOS ANGELES CA
90074-8447
US

V. Phone/Fax

Practice location:
  • Phone: 303-848-3069
  • Fax: 303-227-0714
Mailing address:
  • Phone: 480-563-6400
  • Fax: 480-563-8009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number
License Number State

VIII. Authorized Official

Name: BECKY PESSIN
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 480-563-6400