Provider Demographics
NPI:1396034625
Name:ARIZONA PAIN CENTER LLC
Entity type:Organization
Organization Name:ARIZONA PAIN CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-677-8981
Mailing Address - Street 1:8787 E MOUNTAIN VIEW RD
Mailing Address - Street 2:UNIT 1025
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1452
Mailing Address - Country:US
Mailing Address - Phone:602-677-8981
Mailing Address - Fax:888-461-9729
Practice Address - Street 1:8787 E MOUNTAIN VIEW RD
Practice Address - Street 2:UNIT 1025
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1452
Practice Address - Country:US
Practice Address - Phone:602-677-8981
Practice Address - Fax:888-461-9729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty