Organization
PAIN CONTROL CONSULTANTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
W DAVID LEAK MD (PRESIDENT)
(614) 481-5960
Entity
Organization
Contact information
Practice address
1680 WATERMARK DR, COLUMBUS, OH 43215-1034
(614) 481-5960
(614) 358-7262
Mailing address
PO BOX 931278, CLEVELAND, OH 44193-0004
(614) 430-5727
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0618059
—
OH
01
—
CB9940
MEDICARE RAILROAD
—
Enumeration date
07/01/2006
Last updated
08/21/2007
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