Interventional Pain Consultants LLC

NPI #1225522063 in Alton, Illinois

Provider Information

NPI Number: 1225522063
Entity Type: Organization
Organization Name: Interventional Pain Consultants LLC
Primary Specialty: Pain Medicine - Interventional Pain Medicine
Enumeration Date: Jun 15, 2018
Last Updated: Jan 21, 2020

Practice Location

Address: 3 PROFESSIONAL DR STE B
City: Alton
State: Illinois
ZIP Code: 62002-5067
Phone: (618) 465-7177

Authorized Official

Name: WYNNDEL BUENGER, MD
Title: MEDICAL DIRECTOR
Phone: (618) 465-7177

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology - Pain Medicine — Pain Medicine	207LP2900X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine	208VP0014X	Primary

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