A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
208D00000X | 99 | Physician/Undefined Physician type[6] | |
Nurse Practitioner |
363L00000X | 50 | Nurse Practitioner | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Rehabilitation |
111NR0400X | 35 | Chiropractic |
| NPI Number | 1538452982 |
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| LBN Legal business name | DYNAMIC HEALTH AND PAIN MANAGEMENT, PLLC | ||||||||||||
| Authorized official | HEIDI COX - (SECRETARY/TREASURER) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 05/18/2011 | ||||||||||||
| Last updated | 05/09/2017 - About 9 years ago | ||||||||||||
| Identifiers |
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