COMPREHENSIVE PAIN MANAGEMENTINC. NPI 1548483308

NPI Information

COMPREHENSIVE PAIN MANAGEMENT,INC. is a specialist in Wasilla, AK. 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. COMPREHENSIVE PAIN MANAGEMENT,INC. NPI is 1548483308. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

851 WESTPOINT DR
SUITE 203
WASILLA, AK
ZIP 99654-142
Phone: (907) 373-7934
Fax: (907) 373-7935

The provider's authorized official is Andrew Richard Jaconette .
The authorized official title is President and has the following contact phone number (907) 677-7440.

The CLIA number assigned to this NPI record is 02D2086067 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 9/12/2009.

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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