Organization
PAIN BE-GONE ANESTHESIA SERVICES INC
Active
Other names
Advanced Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALLEN PEKKALA CRNA (PAIN SPECIALIST)
(515) 604-6618
Entity
Organization
Contact information
Practice address
1001 12TH ST N, HUMBOLDT, IA 50548
(515) 604-6618
(515) 604-6627
Mailing address
PO BOX 265, HUMBOLDT, IA 50548-0265
(515) 604-6618
(515) 604-6627
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
367500000X
IA
Other
Enumeration date
06/08/2010
Last updated
08/18/2018
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