Organization
PRIMARY PAIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BETH RISVOLD M.D. (MANAGER)
(907) 529-1898
Entity
Organization
Contact information
Practice address
7810 CANAL ST, ANCHORAGE, AK 99502-4261
(907) 529-1898
(800) 861-3488
Mailing address
PO BOX 100216, ANCHORAGE, AK 99510-0216
(907) 529-1898
(800) 861-3488
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
5124
AK
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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