Interventional Pain Management
NPI #1609351923 in Granite City, Illinois
Provider Information
- NPI Number
- 1609351923
- Entity Type
- Organization
- Organization Name
- Interventional Pain Management
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- Oct 2, 2018
- Last Updated
- Oct 2, 2018
Practice Location
- Address
- 2421 CORPORATE CTR STE 105
- City
- Granite City
- State
- Illinois
- ZIP Code
- 62040-4195
- Phone
- (618) 288-8905
Authorized Official
- Name
- MAHENDRA GUNAPOOTI
- Title
- PRESIDENT
- Phone
- (314) 830-2600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies |
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