Wyoming Valley Pain Clinic & Rehabilitation Center

NPI #1780704619 in Plains, Pennsylvania

Provider Information

NPI Number: 1780704619
Entity Type: Organization
Organization Name: Wyoming Valley Pain Clinic & Rehabilitation Center
Primary Specialty: Specialist
Enumeration Date: Apr 2, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 39 S RIVER ST
City: Plains
State: Pennsylvania
ZIP Code: 18705-1233
Phone: (570) 822-9514

Authorized Official

Name: DR. EMMANUEL E. JACOB, M.D.
Title: DIRECTOR
Phone: (570) 822-9514

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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