THE PAIN RELIEF CLINIC, P.C.; NPI #1316286677

Contact Information

THE PAIN RELIEF CLINIC, P.C.

3400 DEXTER COURT
SUITE 105
DAVENPORT, IA 52807

Phone: 563-594-9833
Fax: 563-324-8486
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pain	261QP3300X
Pain Medicine	207LP2900X	05	Physician/Anesthesiology

Indicates primary specialty

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NPI Profile & details for THE PAIN RELIEF CLINIC, P.C.

NPI Number 1316286677

LBN Legal business name THE PAIN RELIEF CLINIC, P.C.

Authorized official MICHAEL SWANSON - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/06/2013

Last updated 02/06/2013 - About 13 years ago

Identifiers

IA	License #	28552
IA	Medicaid	IA28552

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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