Organization
CHRONIC PAIN RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULAM MUKHDOMI MD (PRESIDENT)
(937) 751-5500
Entity
Organization
Contact information
Practice address
4215 GANTZ RD, GROVE CITY, OH 43123
(937) 751-5500
Mailing address
PO BOX 37, GROVE CITY, OH 43123-0037
(937) 751-5500
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
OH
Other
Enumeration date
12/01/2008
Last updated
06/08/2018
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