PAIN AND HEADACHE CENTER LLC NPI 1518300185

NPI Information

PAIN AND HEADACHE CENTER, LLC is an interventional pain medicine pain medicine in Eagle River, AK. 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. PAIN AND HEADACHE CENTER, LLC NPI is 1518300185. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

12836 OLD GLENN HWY STE 2
EAGLE RIVER, AK
ZIP 99577
Phone: (907) 622-3715
Fax: (907) 622-3712

The provider's authorized official is Carrie Phelps .
The authorized official title is Office Manager and has the following contact phone number (907) 622-3715.

The CLIA number assigned to this NPI record is 02D2068571 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/12/2013 and was last updated on 12/26/2018.

Taxonomy Codes

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Other Identifiers

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