Provider Demographics
NPI:1720681802
Name:CENTER FOR PAIN SOLUTIONS PLLC
Entity Type:Organization
Organization Name:CENTER FOR PAIN SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:ROPOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-855-0557
Mailing Address - Street 1:4910 W RAY RD STE 2
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85226-6221
Mailing Address - Country:US
Mailing Address - Phone:480-855-0557
Mailing Address - Fax:
Practice Address - Street 1:4910 W RAY RD STE 2
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85226-6221
Practice Address - Country:US
Practice Address - Phone:480-855-0557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-19
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty