DUBUQUE PAIN CLINIC NPI 1467863472

NPI Information

  • NPI: 1467863472
  • Provider Name: DUBUQUE PAIN CLINIC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 250 MERCY DR
    DUBUQUE, IA
    ZIP 52001
  • Phone: (563) 589-8665

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0000XPain MedicinePain Medicine34875IOWANo
2208VP0014XPain MedicineInterventional Pain Medicine34875IOWAYes

What is NPI?

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This page was last updated on: 11/21/2025

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