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DUBUQUE PAIN CLINIC NPI 1467863472


NPI Information

NPI: 1467863472
Provider Name: DUBUQUE PAIN CLINIC
Classification: Pain Medicine - 208VP0014X
Entity Type: Organization

Specialization: Interventional Pain Medicine

Address:
250 MERCY DR
DUBUQUE, IA
ZIP 52001
Phone: (563) 589-8665
Get Directions

DUBUQUE PAIN CLINIC is an interventional pain medicine pain medicine in Dubuque, IA. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. DUBUQUE PAIN CLINIC NPI is 1467863472. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

250 MERCY DR
DUBUQUE, IA
ZIP 52001-320
Phone: (563) 589-8665

The provider's authorized official is Ivan Fomitchev .
The authorized official title is President and has the following contact phone number (563) 564-1283.

The enumeration date for this NPI number is 5/13/2014 and was last updated on 5/13/2014.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208VP0000XPain MedicinePain Medicine34875IOWANo
2208VP0014XPain MedicineInterventional Pain Medicine34875IOWAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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