Organization
PENINSULA PAIN RELIEF CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY MIGGINS (PRESIDENT/OWNER)
(360) 478-9788
Entity
Organization
Contact information
Practice address
5050 STATE HIGHWAY 303 NE, SUITE A101, BREMERTON, WA 98311-3629
(360) 478-9788
(360) 405-6255
Mailing address
5050 STATE HIGHWAY 303 NE, SUITE A101, BREMERTON, WA 98311-3629
(360) 478-9788
(360) 405-6255
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/10/2013
Last updated
07/09/2013
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