ADVANCED SPINE AND PAIN CENTER NPI 1205159050

NPI Information

ADVANCED SPINE AND PAIN CENTER is a non pharmacy dispensing site in Las Vegas, NV. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) ADVANCED SPINE AND PAIN CENTER NPI is 1205159050. The provider is registered as an organization entity type.
The provider Other Name Is Eddie Pmd Inc.

The provider's business location address is:

801 S RANCHO DR
STE A-3
LAS VEGAS, NV
ZIP 89106-854
Phone: (702) 386-0909

The provider's authorized official is Edmund Pasimio .
The authorized official title is Medical Director and has the following contact phone number (702) 386-0909.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 3/1/2011.

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

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