Pain Care Surgery, PC

NPI #1184690570 in Marion, Illinois

Provider Information

NPI Number
1184690570
Entity Type
Organization
Organization Name
Pain Care Surgery, PC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
Feb 24, 2006
Last Updated
Oct 5, 2011

Practice Location

Address
108 AIRWAY DR
City
Marion
ZIP Code
62959-5841
Phone
(618) 997-7820

Authorized Official

Name
DR. LAXMAIAH MANCHIKANTI, M.D.
Title
MEDICAL DIRECTOR
Phone
(618) 997-7820

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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