Organization
UPPER VALLEY PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EASAW THOMAS M.D. (MD/OWNER)
(937) 440-9758
Entity
Organization
Contact information
Practice address
180 S STANFIELD RD, SUITE B, TROY, OH 45373-0106
(937) 440-9758
Mailing address
180 S STANFIELD RD, SUITE B, TROY, OH 45373-0106
(937) 440-9758
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
11/03/2016
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