Organization
MIDWEST PAIN CLINICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN EDMUND COOK M.D. (MEMBER)
(605) 232-3332
Entity
Organization
Contact information
Practice address
825 N 90TH ST, OMAHA, NE 68114-2706
(402) 391-1302
Mailing address
101 TOWER RD, SUITE 103, DAKOTA DUNES, SD 57049-5007
(605) 232-5792
(605) 232-1804
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/13/2008
Last updated
03/13/2008
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