Organization
UPPER VALLEY PAIN CLINIC LLC
Active
Parent organization
UPPER VALLEY PAIN CLINIC LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPPER VALLEY PAIN CLINIC LLC
Authorized official
TRACY HAMMOND (EXECUTIVE DIRECTOR)
(937) 208-7292
Entity
Organization
Contact information
Practice address
180 S STANFIELD RD, TROY, OH 45373-0106
(937) 440-9758
(937) 440-8872
Mailing address
180 S STANFIELD RD, TROY, OH 45373-0106
(937) 440-9758
(937) 440-8872
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35044224
OH
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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