Upper Valley Pain Clinic LLC

NPI #1467902585 in Troy, Ohio

Provider Information

NPI Number: 1467902585
Entity Type: Organization
Organization Name: Upper Valley Pain Clinic LLC
Subpart: Yes (part of a larger organization)
Parent Organization: UPPER VALLEY PAIN CLINIC LLC
Primary Specialty: Anesthesiology
Enumeration Date: Oct 13, 2016
Last Updated: Oct 13, 2016

Practice Location

Address: 180 S STANFIELD RD
City: Troy
State: Ohio
ZIP Code: 45373-0106
Phone: (937) 440-9758

Authorized Official

Name: TRACY HAMMOND
Title: EXECUTIVE DIRECTOR
Phone: (937) 208-7292

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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