# CAPITAL CITY PAIN MANAGEMENT, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053743815
- **Authorized official:** DOUGLAS BEZ DO (PRESIDENT)
- **Authorized official phone:** (517) 349-5103

## Contact information

- **Practice address:** 2815 S PENNSYLVANIA AVE, SUITE 101, LANSING, MI 48910-3495
- **Practice address phone:** (517) 975-6625
- **Mailing address:** 255 W MICHIGAN AVE, PO BOX 1123, JACKSON, MI 49201-2218
- **Mailing address phone:** (800) 242-1131
- **Mailing address fax:** (517) 787-4146

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | Yes |
| 208VP0000X | Pain Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/05/2013
- **Last updated:** 04/24/2014