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Organization

PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP

Active
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Organization

PAIN MANAGEMENT SPECIALISTS MEDICAL GROUP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BORIS PILCH MD (MANAGING PARTNER)
(805) 786-4878
Entity
Organization

Contact information

Practice address
314 S STRATFORD AVE, SANTA MARIA, CA 93454-5903
(805) 922-5655
(805) 922-5889
Mailing address
PO BOX 4659, SAN LUIS OBISPO, CA 93403-4659
(805) 922-5655
(805) 922-5889

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0105740
CA
Enumeration date
10/10/2011
Last updated
01/09/2018
About Stedi
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  • EDI platform