Organization
KERRY PANOZZO MD PC
Active
Parent organization
KERRY PANOZZO MD PC
Other names
Interventions in Pain Management LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KERRY PANOZZO MD PC
Authorized official
KERRY P PANOZZO MD (OWNER)
(309) 428-7055
Entity
Organization
Contact information
Practice address
3170 E 53RD ST, DAVENPORT, IA 52807-3864
(309) 428-7055
Mailing address
4110 BLACKHAWK RD STE 2, ROCK ISLAND, IL 61201-7039
(309) 428-7055
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
05/14/2019
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