Pibcoa

NPI #1275811861 in Eau Claire, Wisconsin

Provider Information

NPI Number
1275811861
Entity Type
Organization
Organization Name
Pibcoa
Subpart
Yes (part of a larger organization)
Parent Organization
THE PAIN, INJURY AND BRAIN CENTERS OF AMERICA, LLC
Primary Specialty
Clinic/Center - Pain
Enumeration Date
Jul 29, 2011
Last Updated
Jan 6, 2012

Practice Location

Address
1101 W CLAIREMONT AVE
Address 2
UNIT 1G
ZIP Code
54701-4503
Phone
(715) 672-2000

Authorized Official

Name
MRS. DANA J BAUER
Title
ELECTRO-TOXICOLOGIST
Phone
(715) 672-2000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - PainPain

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