Organization
BLUFFS PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM SMITH (OFFICE MANAGER)
(712) 322-5565
Entity
Organization
Contact information
Practice address
201 RIDGE STREET, SUITE 102, COUNCIL BLUFFS, IA 51503
(712) 396-4359
(712) 396-4358
Mailing address
201 RIDGE ST, SUITE 102, COUNCIL BLUFFS, IA 51503-4643
(712) 322-5565
(712) 322-5566
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
11/20/2015
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