Organization
PREFERRED PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK WILLIAM HANEMAN (CEO)
(916) 784-2200
Entity
Organization
Contact information
Practice address
153 W LAKE MEAD PKWY, HENDERSON, NV 89015-7044
(855) 544-7246
Mailing address
153 W LAKE MEAD PKWY, HENDERSON, NV 89015-7044
(855) 544-7246
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
10/12/2011
Last updated
10/12/2011
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