Preferred Pain Management, LLC

NPI #1346525136 in Henderson, Nevada

Provider Information

NPI Number
1346525136
Entity Type
Organization
Organization Name
Preferred Pain Management, LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Oct 12, 2011
Last Updated
Oct 12, 2011

Practice Location

Address
153 W LAKE MEAD PKWY
State
Nevada
ZIP Code
89015-7044
Phone
(855) 544-7246

Authorized Official

Name
MR. JACK WILLIAM HANEMAN
Title
CEO
Phone
(916) 784-2200

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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