Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maryvale Pain Management, LLC

Organization Interventional Pain Medicine Physician · NPI 1730765124

Maryvale Pain Management, LLC is an Interventional Pain Medicine Physician in Chandler, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

604 W Warner Rd Ste C2
Chandler, AZ 85225-2915
Phone: (480) 786-4644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1730765124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Seana Perea — Billing Manager · (480) 737-1895
NPI enumeratedMarch 24, 2021
Last updated in NPPESMarch 24, 2021
Certification dateMarch 24, 2021
Mailing address604 W Warner Rd Ste C2, Chandler, AZ 85225-2915

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