Organization
ADVANCED PAIN MANAGEMENT CENTER, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME GUERRERO M.D. (OWNER)
(502) 589-0900
Entity
Organization
Contact information
Practice address
1170 E. BROADWAY, SUITE 300, LOUISVILLE, KY 40204-1761
(502) 589-0900
(502) 589-9075
Mailing address
1170 E. BROADWAY, SUITE 300, LOUISVILLE, KY 40204-1761
(502) 589-0900
(502) 589-9075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
37035
KY
208VP0000X
Pain Medicine Physician
37035
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200886370A
—
IN
05
—
7100039170
—
KY
Enumeration date
05/13/2006
Last updated
03/07/2014
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