Organization
PREMIER PAIN SPINE AND SPORTS MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKHAIL ARTAMONOV M.D (PRESIDENT)
(570) 872-9800
Entity
Organization
Contact information
Practice address
391 EAST BROWN STREET, EAST STROUDSBURG, PA 18301
(570) 241-9224
Mailing address
391 EAST BROWN STREET, EAST STROUDSBURG, PA 18301
(570) 241-9224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD424898
—
Other
Enumeration date
10/16/2013
Last updated
05/02/2014
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