Organization
INTERVENTIONAL PAIN CONSULTANTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WYNNDEL BUENGER MD (MEDICAL DIRECTOR)
(618) 465-7177
Entity
Organization
Contact information
Practice address
3 PROFESSIONAL DR STE B, ALTON, IL 62002-5067
(618) 465-7177
(618) 465-7176
Mailing address
3 PROFESSIONAL DR STE B, ALTON, IL 62002-5067
(618) 465-7177
(618) 465-7176
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/15/2018
Last updated
01/21/2020
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