Organization
ALLEGHENY PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J DRASS MD (MEDICAL DIRECTOR)
(814) 940-2000
Entity
Organization
Contact information
Practice address
1402 9TH AVE, ALTOONA, PA 16602-2415
(814) 940-2000
Mailing address
PO BOX 8000, DEPT 866, BUFFALO, NY 14267-0002
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD053729L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018776120008
—
PA
01
—
120805400
OWCP
PA
01
—
1556837
GATEWAY
PA
01
—
203262
UPMC
PA
01
—
343086
ADVANTRA FREEDOM
PA
01
—
AL1341803
HIGHMARK BC BS
PA
01
—
CJ9284
RAILROAD MEDICARE
PA
01
—
DR973946
PERSONAL BS PROVIDER #
PA
Enumeration date
08/07/2006
Last updated
07/09/2008
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