Innovative Pain Center Llc

NPI 1003851163 - Pain Medicine - 208VP0014X

NPI Details
NPI 1003851163
Enumeration Date 06/20/2006
Last Updated 12/22/2010
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name PATRICK L PATRICK
Position PROVIDER
Phone (605) 884-0100
Fax
Practice Location
1512 4TH ST NE
WATERTOWN SD, 57201-6824, US
Phone (605) 884-0100
Fax
Business Location
1201 MICKELSON DR STE 2
WATERTOWN SD, 57201-7253, US
Phone (605) 882-0432
Fax (605) 882-0978
Toxanomy
Taxonomy Code 208VP0014X
License State South Dakota
License Number 0425
Remove 1003851163 NPI Number
 

According to our database, Innovative Pain Center Llc NPI is 1003851163, taxonomy code is 208VP0014X and license number is 0425, license state is located at South Dakota. Innovative Pain Center Llc physically located at 1512 4th St Ne, Watertown SD, 57201-6824. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1003851163 NPI number is provided on an as is basis without warranty of any kind. 1003851163 is maintained by the National Plan & Provider Enumeration System. The contents of Innovative Pain Center Llc are for informational purposes only.