Organization
COMPLETE PAIN MANAGEMENT & REHABILITATION LLC
Active
Other names
Dynamic Pain Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER IMAS M.D. (PRESIDENT)
(702) 982-7100
Entity
Organization
Contact information
Practice address
1358 PASEO VERDE PKWY, SUITE #100, HENDERSON, NV 89012-5724
(702) 982-7100
(702) 982-7102
Mailing address
PO BOX 531666, HENDERSON, NV 89053-1666
(702) 982-7100
(702) 982-7102
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
12082
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6727480001
PTAN
NV
Enumeration date
10/15/2008
Last updated
07/11/2014
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