Organization
PAINMEDGROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DRUET M.D. (CEO)
(951) 506-9536
Entity
Organization
Contact information
Practice address
25495 MEDICAL CENTER DR, SUITE 102, MURRIETA, CA 92562-4902
(951) 506-9536
(951) 693-4631
Mailing address
PO BOX 893520, TEMECULA, CA 92589-3520
(951) 506-9536
(951) 693-4631
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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