# NORTH BAY PAIN CARE

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

## Provider details

- **NPI number:** 1679744429
- **Authorized official:** DR. BRIAN SCOTT MOORE (CLINIC DIRECTOR)
- **Authorized official phone:** (707) 575-1700

## Contact information

- **Practice address:** 2135 ARMORY DR, SUITE 100, SANTA ROSA, CA 95401-3610
- **Practice address phone:** (707) 575-1700
- **Practice address fax:** (707) 575-1755
- **Mailing address:** 2135 ARMORY DRIVE, SUITE 100, SANTA ROSA, CA 95401
- **Mailing address phone:** (707) 575-1700
- **Mailing address fax:** (707) 575-1755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 00G55246 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2008
- **Last updated:** 03/25/2008