Organization · Type 2 NPI

The Center for Pain and Supportive Care P L L C

Pain Medicine Physician · Phoenix, AZ

NPI number 1104009265 Active

Practice location

4611 E. Shea Blvd. Bldg. 3, Suite 190
Phoenix, AZ 85028-4258

Fax (480) 889-0186

Other practice locations

  • 9242 W Union Hills Dr Bldg D100-101, Peoria, AZ 85382-8218 · (480) 889-0180

Specialties and licenses

TaxonomyCodeLicense
Hospice and Palliative Medicine (Anesthesiology) Physician 207LH0002X24521 (AZ)
Pain Medicine (Anesthesiology) Physician 207LP2900X24521 (AZ)
Pain Medicine Physician Primary 208VP0000X24521 (AZ)
Interventional Pain Medicine Physician 208VP0014X24521 (AZ)

Pain Medicine Physician: Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contri…

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About NPI 1104009265

The Center for Pain and Supportive Care P L L C's National Provider Identifier is 1104009265, issued on Dec 12, 2007. The primary taxonomy on file is Pain Medicine Physician (208VP0000X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 25, 2025.