Tristan Pico is a Pain Medicine in Glendale, Arizona. Tristan Pico practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for Tristan Pico is 1508088196. The last update date is 2021-06-09.
Tristan Pico's current location address is 20280 N 59th Ave, Glendale, Arizona. You can contact this provider via phone number 6027958700 and fax number 6027958701. The mailing address for Tristan Pico is 20280 N 59th Ave, Glendale, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tristan Pico |
|---|---|
| Address | 20280 N 59th Ave, Glendale, Arizona |
| Phone Number | 6027958700 |
| Fax Number | 6027958701 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508088196 |
|---|---|
| Provider Enumeration Date | 2007-05-03 |
| Last Updated Date | 2021-06-09 |
Provider Mailing Address Detail
| Address | 20280 N 59th Ave |
|---|---|
| City | Glendale |
| State | Arizona (AZ) |
| Post Code | 853086850 |
| Phone Number | 6027958700 |
| Fax Number | 6027958701 |
Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
|---|---|
| Taxonomy | 207Lp2900X |
| Licence No | DR.0066661 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 514699 | AZ | -- |
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What is the Tristan Pico's unique identification number?
The Tristan Pico has been assigned the NPI (National Provider Identifier) Number 1508088196 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Tristan Pico?
The Tristan Pico is physically situated at 20280 N 59Th Ave, in the city of Glendale, state of AZ, with the postal code 853086850.
What is the Tristan Pico's specialty and taxonomy code?
The Tristan Pico's specialty is Pain Medicine, and the corresponding taxonomy code is 207Lp2900X.
On what date did the Tristan Pico receive its 1508088196 assignment from the Centers for Medicare & Medicaid Services?
The Tristan Pico was assigned its 1508088196 by the Centers for Medicare & Medicaid Services on 2007-05-03.
When was the Tristan Pico's information last updated?
The Tristan Pico's information was last updated on 2021-06-09.