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TRI STATE INTERVENTIONAL PAIN CLINIC PLLC NPI 1609427939


NPI Information

NPI: 1609427939
Provider Name: TRI STATE INTERVENTIONAL PAIN CLINIC PLLC
Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
310 JUDGE SMITH DR
MARION, AR
ZIP 72364
Phone: (901) 603-8555
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TRI STATE INTERVENTIONAL PAIN CLINIC PLLC is a pain medicine anesthesiology in Marion, AR. The provider is 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 coordinated with other specialists. TRI STATE INTERVENTIONAL PAIN CLINIC PLLC NPI is 1609427939. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

310 JUDGE SMITH DR
MARION, AR
ZIP 72364-220
Phone: (901) 603-8555
Fax: (901) 730-1229

The provider's authorized official is Carol J Mccourt .
The authorized official title is Sole Proprietor and has the following contact phone number (901) 219-6740.

The enumeration date for this NPI number is 9/27/2019 and was last updated on 9/27/2019.


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
1207LP2900XAnesthesiologyPain MedicineYes

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: 4/28/2024

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