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1437234465

NPI Code Detail

MEDICARE: PAIN CONSULTANTS OF ARIZONA, PC

MEDICARE: PAIN CONSULTANTS OF ARIZONA, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	28310	AZ
2	208100000X	Physical Medicine & Rehabilitation Physician	4087	AZ
3	208VP0014X	Interventional Pain Medicine Physician	28310	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AZ0463800	OTHER	AZ	PAUL'S BCBS #
2	AZ0743670	OTHER	AZ	DR. RUBIN'S BCBS #

General Provider Information

NPI Number	:	1437234465
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAIN CONSULTANTS OF ARIZONA, PC

Provider Business Mailing Address
First Line	:	20950 N TATUM BLVD
Second Line	:	SUITE 300
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4200
Country	:	US
Telephone Number	:	480-222-7246
Fax Number	:	602-322-1684

Provider Business Practice Location Address
First Line	:	20950 N TATUM BLVD STE 100
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4204
Country	:	US
Telephone Number	:	480-222-7246
Fax Number	:	480-222-7271

Authorized Official
Title or Position	:	DO
Name	:	PETER KUBITZ
Credential	:	DO
Telephone Number	:	480-222-7246

Provider Enumeration Date	:	10/26/2006
Last Update Date	:	08/12/2019

Similar Medicare Providers

1750373718 — PETER KUBITZ D.O.
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax: 480-222-7271

1932153236 — DR. JEROME JULIAN GROVE MD
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax: 480-222-7271

1922335736 — BRITTANY JONES PA
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax: 480-222-7271

1497079438 — HEATHER LEIGH CHUNG FNP-C
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax: 480-222-7271

1225323785 — DR. TONY BUI M.D.
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax: 480-222-7271

1992205512 — PEAK WELLNESS INSTITUTE
Practice Location Address:

20950 N TATUM BLVD STE 100
PHOENIX, AZ
85050-4204

Practice Phone: 480-222-7246
Practice Fax:

Directions to “PAIN CONSULTANTS OF ARIZONA, PC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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