is a Pain Medicine in , . practices all healthcare services and medical treatments related to Pain Medicine. The NPI Number for is 1881646479. The last update date is .
's current location address is , , . You can contact this provider via phone number . The mailing address for is , , . To know further, please read the information below!
Provider Profile Detail
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| Address | , , |
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| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1881646479 |
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| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | |
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| City | |
| State | () |
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Provider's Primary Taxonomy Detail
| Speciality | Pain Medicine |
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| Taxonomy | 207Lp2900X |
| Licence No | DR.0035802 |
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Definition: An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1358027 | CO | -- | |
| D4558 | CO | ANTHEM/BLUE CROSS | |
| D4558 | CO | RAILROAD MEDICARE |
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