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Organization
PAIN CARE INNOVATION LLC
Active
Organization
PAIN CARE INNOVATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BAUMGARTL MD (OWNER)
(510) 593-6195
Entity
Organization
Contact information
Practice address
222 KAREN AVE UNIT 3305, LAS VEGAS, NV 89109-5308
(510) 593-6195
Mailing address
1541 WINDHAVEN CIR, LAS VEGAS, NV 89117-1532
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
13914
NV
Other
Enumeration date
08/31/2017
Last updated
09/05/2017
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