TUCSON PAIN INSTITUTE PC
Osteopathic Medicine at Grant Rd, Tucson, AZ

License number
Arizona 41804
Category
Osteopathic Medicine
Type
Pain Medicine
License number
Arizona A104563
Category
Osteopathic Medicine
Type
Pain Medicine
Owner
Name: DR. CHARLES R STEVENS MD
Title: OWNER
Phone: (520) 886-7246
Address
Address
6252 E Grant Rd, Tucson, AZ 85712
National Provider ID: 1295148856
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about TUCSON PAIN INSTITUTE PC at bizstanding.com

TUCSON PAIN INSTITUTE, PC

4564 E Cp Lowell Dr, Tucson, AZ 85712

Registration:
Feb 3, 2014
State ID:
-1902584-5
Expiration:
PERPETUAL
Directors:
Ethan Sasz (Director), Director 10624 S Eastern Ave #A638, Henderson, NV 89052 (Physical),Charlie Stevens (Director), Director 1665 S Imperial Ave #D, El Centro, CA 92243 (Physical)
Agent:
Gugino & Mortimer Plc,4564 E Cp Lowell Dr, Tucson, AZ 85712 (Physical)

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