Organization
CENTRAL IOWA PAIN & WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB MILLER CRNA, ARNP (CEO/MANAGER)
(785) 608-7659
Entity
Organization
Contact information
Practice address
3600 UNIVERSITY BLVD STE 102, AMES, IA 50010-8674
(515) 493-7002
Mailing address
2405 N DAKOTA AVE, AMES, IA 50014-9019
(785) 608-7659
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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