Organization
ANESTHESIOLOGISTS D.O., INC
Active
Organization
ANESTHESIOLOGISTS D.O., INC
Active
Other names
Doctors Pain Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY LEE NEUENDORF D.O. (PRESIDENT / CEO)
(330) 629-2888
Entity
Organization
Contact information
Practice address
4665 DOUGLAS CIR NW, SUITE 101, CANTON, OH 44718-3673
(330) 494-7246
(330) 494-8330
Mailing address
1011 BOARDMAN CANFIELD RD, YOUNGSTOWN, OH 44512-4226
(330) 629-2888
(330) 629-8940
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0311344
—
OH
Enumeration date
03/12/2010
Last updated
03/12/2010
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