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Organization
INTEGRATED PAIN SOLUTIONS
Active
Organization
INTEGRATED PAIN SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE MOORE (OWNER)
(619) 321-0093
Entity
Organization
Contact information
Practice address
500 3RD AVE, SAN DIEGO, CA 92101-6805
(619) 321-0093
(619) 321-0094
Mailing address
500 3RD AVE, SAN DIEGO, CA 92101-6805
(619) 321-0093
(619) 321-0094
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
NULL
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
09/27/2012
Last updated
09/27/2012
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