# ADVANCED PAIN MANAGEMENT, LLC

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

## Provider details

- **NPI number:** 1811220304
- **Authorized official:** DR. ALEXEY A RYSKIN MD (OWNER)
- **Authorized official phone:** (435) 656-0029

## Contact information

- **Practice address:** 620 S 400 E STE 201, ST GEORGE, UT 84770-7060
- **Practice address phone:** (435) 656-0029
- **Practice address fax:** (435) 656-9144
- **Mailing address:** 620 S 400 E STE 201, ST GEORGE, UT 84770-7060
- **Mailing address phone:** (435) 656-0029
- **Mailing address fax:** (435) 656-9144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 5566449-1205 | UT | Yes |
| 208VP0000X | Pain Medicine Physician | 5566449-1205 | UT | — |
| 208VP0014X | Interventional Pain Medicine Physician | 5566449-1205 | UT | — |

## Other

- **Enumeration date:** 09/15/2009
- **Last updated:** 10/26/2009