Provider Demographics
NPI:1952876625
Name:PAIN FREE AZ, PLLC
Entity Type:Organization
Organization Name:PAIN FREE AZ, PLLC
Other - Org Name:ENHANCED MEDICAL CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:LANE
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-606-2291
Mailing Address - Street 1:3200 S RURAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-3870
Mailing Address - Country:US
Mailing Address - Phone:480-968-4642
Mailing Address - Fax:480-966-1526
Practice Address - Street 1:3200 S RURAL RD STE 3
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-3870
Practice Address - Country:US
Practice Address - Phone:480-968-4642
Practice Address - Fax:480-966-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-09
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty