Great River Pain Center Llc

NPI 1073865291 - Pain Medicine - 208VP0000X

NPI Details
NPI 1073865291
Enumeration Date 10/11/2012
Last Updated 10/11/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SANJAY SANJAY
Position OWNER
Phone (309) 762-9711
Fax (309) 762-9747
Practice Location
1634 AVENUE OF THE CITIES
MOLINE IL, 61265-4860, US
Phone (309) 762-9711
Fax (309) 762-9747
Business Location
1634 AVENUE OF THE CITIES
MOLINE IL, 61265-4860, US
Phone (309) 762-9711
Fax (309) 762-9747
Toxanomy
Taxonomy Code 208VP0000X
License State Illinois
License Number 036118384
Remove 1073865291 NPI Number
 

According to our database, Great River Pain Center Llc NPI is 1073865291, taxonomy code is 208VP0000X and license number is 036118384, license state is located at Illinois. Great River Pain Center Llc physically located at 1634 Avenue Of The Cities, Moline IL, 61265-4860. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073865291 NPI number is provided on an as is basis without warranty of any kind. 1073865291 is maintained by the National Plan & Provider Enumeration System. The contents of Great River Pain Center Llc are for informational purposes only.