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Physicians Anesthesiology Pain Medicine

Provider NPI: 1205911518

Provider Information:
Gender: M
Not Sole Proprietor

Practice Location:
6005 PARK AVE SUITE 400 MEMPHIS, TN 38119-5215 US
Tel: 901-767-9500  Fax: 907-767-7324

Business Mailing Address:
6005 PARK AVE SUITE 400 MEMPHIS, TN 38119-5215 US
Tel: 901-767-9500  Fax: 907-767-7324

NPI Information:
NPI: 1205911518
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Pain Medicine
Pain Medicine

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 208VP0000X





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