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Organization
RIVER REGION PAIN MANAGEMENT, PC
Active
Organization
RIVER REGION PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD A HOOKS (PRESIDENT)
(334) 414-3435
Entity
Organization
Contact information
Practice address
3283 MALCOLM DR, SUITE 105, MONTGOMERY, AL 36116-8816
(334) 356-9970
(334) 356-9873
Mailing address
PO BOX 660257, BIRMINGHAM, AL 35266-0257
(205) 979-5882
(205) 979-1248
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150179
—
AL
Enumeration date
06/21/2013
Last updated
06/29/2016
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