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Organization
BAY AREA PAIN MEDICAL ASSOCIATES
Active
Organization
BAY AREA PAIN MEDICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE KEANEY RN, BSN (PRACTICE MANAGER)
(415) 380-0480
Entity
Organization
Contact information
Practice address
3 HARBOR DR, SUITE 115, SAUSALITO, CA 94965-1454
(415) 380-0480
Mailing address
3 HARBOR DR, SUITE 115, SAUSALITO, CA 94965-1454
(415) 380-0480
Taxonomy
Speciality
Code
Description
License number
State
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
Primary
C38406
CA
2084P2900X
Pain Medicine (Psychiatry & Neurology) Physician
C39226
CA
363LF0000X
Family Nurse Practitioner
11549
CA
364S00000X
Clinical Nurse Specialist
370895
CA
Other
Enumeration date
03/12/2007
Last updated
04/23/2015
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