Organization
EMPORIA PAIN MANAGEMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL DAVID RILEY (OWNER)
(620) 342-7768
Entity
Organization
Contact information
Practice address
2917 W HIGHWAY 50, STE B, EMPORIA, KS 66801-5140
(620) 342-7768
(620) 343-9904
Mailing address
2917 W HIGHWAY 50, STE B, EMPORIA, KS 66801-5140
(620) 342-7768
(620) 343-9904
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
04-23070
KS
Other
Enumeration date
06/17/2011
Last updated
06/17/2011
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