Organization
INTERVENTIONS IN PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KERRY P PANOZZO (OWNER)
(309) 721-3288
Entity
Organization
Contact information
Practice address
1075 GOLDEN VALLEY DR, BETTENDORF, IA 52722-1649
(309) 428-7055
Mailing address
4110 BLACKHAWK RD STE 2, ROCK ISLAND, IL 61201-7039
(309) 428-7055
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
34922
IA
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2015
Last updated
11/18/2016
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