CENTER FOR PAIN MANAGEMENT. P.A. NPI 1184853830

NPI Information

CENTER FOR PAIN MANAGEMENT. P.A. is a specialist in Saint Cloud, MN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CENTER FOR PAIN MANAGEMENT. P.A. NPI is 1184853830. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1900 CENTRACARE CIR
SAINT CLOUD, MN
ZIP 56303-000
Phone: (320) 230-7788
Fax: (320) 230-7789

The provider's authorized official is Samir M Elghor .
The authorized official title is Owner and has the following contact phone number (320) 230-7788.

The CLIA number assigned to this NPI record is 24D2015706 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2009 and was last updated on 10/8/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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