Interdisciplanary Pain Management

NPI #1992888994 in Palmdale, California

Provider Information

NPI Number: 1992888994
Entity Type: Organization
Organization Name: Interdisciplanary Pain Management
Primary Specialty: Lodging
Enumeration Date: Oct 23, 2006
Last Updated: Nov 7, 2007

Practice Location

Address: 819 AUTO CENTER DRIVE
City: Palmdale
State: California
ZIP Code: 93551
Phone: (661) 267-6876

Authorized Official

Name: MR. LANCE JACKSON, DC
Title: CEO
Phone: (661) 267-6876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Lodging	177F00000X	Primary

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