Organization
INTERVENTIONAL PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN J PETTIS M.D. (PRESIDENT)
(402) 384-2600
Entity
Organization
Contact information
Practice address
9015 ARBOR ST, #155, OMAHA, NE 68124-2056
(402) 384-2600
(402) 384-2606
Mailing address
9015 ARBOR ST, #155, OMAHA, NE 68124-2056
(402) 384-2600
(402) 384-2606
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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