Organization
PREFERRED PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW IMES (PRESIDENT)
(985) 687-5636
Entity
Organization
Contact information
Practice address
153 W LAKE MEAD PKWY STE 2125, HENDERSON, NV 89015-7047
(855) 544-5636
Mailing address
153 W LAKE MEAD PKWY STE 2125, HENDERSON, NV 89015-7047
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
02/27/2012
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