Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI Number | 1346610672 |
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| LBN Legal business name | ADVANCED PAIN MANAGEMENT SERVICES, LLC | ||||
| Authorized official | JOANA GOMES - (HR AND CREDENTIALING MANAGER) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/29/2015 | ||||
| Last updated | 09/29/2015 - About 11 years ago | ||||
| Identifiers |
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