OrganizationActive
Painx Joint- Revitalization Inc
NPI 1306404454 · Pain Medicine Physician · Mesa, AZ
Provider details
- NPI number
- 1306404454
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Lisa Amaya, Physician Assistant
Practice location
62 N Stapley Dr Ste B
Mesa, AZ 85203-8845
Phone: (602) 828-6705
Fax: (602) 581-7160
Mailing address
62 N Stapley Dr Ste B
Mesa, AZ 85203-8845
Registry dates
- Enumerated
- 2019-06-04
- Last updated
- 2020-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.