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Organization

ADVANCED PAIN MANAGEMENT SPECIALISTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BARBARA KREEL MD (CEO/OWNER)
(570) 970-1030
Entity
Organization

Contact information

Practice address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577
Mailing address
11 GALLAGHER DR, PLAINS, PA 18705-1146
(570) 970-1030
(570) 270-0577

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0017739590004
PA
01
2341896
AETNA PROVIDER NUMBER
PA
01
747842
BLUE SHIELD PROVIDER NUMB
PA
01
807508
FIRST PRIORITY PROVIDER N
PA
Enumeration date
07/28/2005
Last updated
09/27/2013
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