Acadia Pain Management Group, Inc.

NPI 1154630044 - Pain Medicine - 208VP0000X

NPI Details
NPI 1154630044
Enumeration Date 09/27/2010
Last Updated 11/04/2015
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name MICHAEL LONG MICHAEL
Position MEDICAL DIRECTOR/PRESIDENT
Phone (707) 546-7979
Fax (707) 546-7667
Practice Location
4704 HOEN AVE
SANTA ROSA CA, 95405-7824, US
Phone (707) 546-7979
Fax (707) 546-7667
Business Location
4704 HOEN AVE
SANTA ROSA CA, 95405-7824, US
Phone (707) 546-7979
Fax (707) 546-7667
Toxanomy
Taxonomy Code 208VP0000X
License State
License Number
Remove 1154630044 NPI Number
 

According to our database, Acadia Pain Management Group, Inc. NPI is 1154630044, taxonomy code is 208VP0000X Acadia Pain Management Group, Inc. physically located at 4704 Hoen Ave, Santa Rosa CA, 95405-7824. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1154630044 NPI number is provided on an as is basis without warranty of any kind. 1154630044 is maintained by the National Plan & Provider Enumeration System. The contents of Acadia Pain Management Group, Inc. are for informational purposes only.