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Organization
PAIN CARE PROFESSIONALS, INC.
Active
Organization
PAIN CARE PROFESSIONALS, INC.
Active
Other names
Pain Care Group, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WES PROKOP M.D. (PRESIDENT)
(610) 642-3527
Entity
Organization
Contact information
Practice address
HAHNEMANN UNIVERSITY HOSPITAL PAIN CLINIC, BROAD & VINE ST., 4TH FLOOR SOUTH TOWER, PHILADELPHIA, PA 19096
(610) 795-7375
(610) 795-7376
Mailing address
PO BOX 237, WYNNEWOOD, PA 19096-0237
(610) 642-3527
(610) 795-7376
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/18/2005
Last updated
08/22/2020
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