# CENTER FOR PAIN MANAGEMENT AMBULATORY SURGERY, LTD

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

## Provider details

- **NPI number:** 1871104836
- **Authorized official:** SAMIR M ELGHOR MD (OWNER)
- **Authorized official phone:** (320) 230-7788

## Contact information

- **Practice address:** 804 23RD STREET SOUTH, SARTELL, MN 56308
- **Practice address phone:** (320) 230-7788
- **Mailing address:** 804 23RD STREET SOUTH, SARTELL, MN 56308

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/13/2020
- **Last updated:** 02/12/2026