Rancho Mirage Pain Management INC

NPI #1154631943 in Rancho Mirage, California

Provider Information

NPI Number
1154631943
Entity Type
Organization
Organization Name
Rancho Mirage Pain Management INC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Oct 14, 2010
Last Updated
Jul 31, 2012

Practice Location

Address
71780 SAN JACINTO DRIVE
Address 2
SUITE 83
ZIP Code
92270-1092
Phone
(760) 202-1919

Authorized Official

Name
ANTHONY NELSON M.D, M.D.
Title
PRESIDENT
Phone
(760) 202-1919

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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