Izzy Pain Mangement P C

NPI 1235309360 - Anesthesiology - 207LP2900X

NPI Details
NPI 1235309360
Enumeration Date 03/04/2008
Last Updated 08/12/2010
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name SHANNON SHANNON
Position OFFICE MANAGER
Phone (602) 308-7869
Fax (602) 277-8146
Practice Location
640 W MARYLAND AVE
SUITE 3
PHOENIX AZ, 85013-1398, US
Phone (602) 308-7869
Fax (602) 277-8146
Business Location
PO BOX 39179
PHOENIX AZ, 85069-9179, US
Phone (602) 395-0718
Fax
Toxanomy
Taxonomy Code 207LP2900X
License State Arizona
License Number 31461
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According to our database, Izzy Pain Mangement P C NPI is 1235309360, taxonomy code is 207LP2900X and license number is 31461, license state is located at Arizona. Izzy Pain Mangement P C physically located at 640 W Maryland Ave, Phoenix AZ, 85013-1398. NPI Number 1033115704 has the healthcare provider type.

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1235309360 NPI number is provided on an as is basis without warranty of any kind. 1235309360 is maintained by the National Plan & Provider Enumeration System. The contents of Izzy Pain Mangement P C are for informational purposes only.