Lake Of The Ozarks Pain Management Services, Inc

NPI 1003901976 - Specialist - 174400000X

NPI Details
NPI 1003901976
Enumeration Date 10/04/2006
Last Updated 05/25/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALAN W ALAN
Position OWNER
Phone (573) 302-1661
Fax
Practice Location
54 HOSPITAL DR
OSAGE BEACH MO, 65065-3050, US
Phone (573) 302-1661
Fax
Business Location
5151 OSAGE BEACH PKWY STE F
PO BOX 840
OSAGE BEACH MO, 65065-3285, US
Phone (573) 302-1661
Fax (573) 302-1719
Toxanomy
Taxonomy Code 174400000X
License State
License Number
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According to our database, Lake Of The Ozarks Pain Management Services, Inc NPI is 1003901976, taxonomy code is 174400000X Lake Of The Ozarks Pain Management Services, Inc physically located at 54 Hospital Dr, Osage Beach MO, 65065-3050. NPI Number 1033115704 has the healthcare provider type.

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1003901976 NPI number is provided on an as is basis without warranty of any kind. 1003901976 is maintained by the National Plan & Provider Enumeration System. The contents of Lake Of The Ozarks Pain Management Services, Inc are for informational purposes only.