Provider Demographics
NPI:1225451594
Name:ARIZONA PAIN MANAGEMENT, PLC
Entity Type:Organization
Organization Name:ARIZONA PAIN MANAGEMENT, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:MIONI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:602-910-6760
Mailing Address - Street 1:422 E SOUTHERN AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-5214
Mailing Address - Country:US
Mailing Address - Phone:602-910-6760
Mailing Address - Fax:480-497-9229
Practice Address - Street 1:422 E SOUTHERN AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-5214
Practice Address - Country:US
Practice Address - Phone:602-910-6760
Practice Address - Fax:480-497-9229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-22
Last Update Date:2014-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty