Organization
INTERVENTIONAL PAIN CONSULTANTS, LLC
Active
Organization
INTERVENTIONAL PAIN CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWN MICHAEL SILLS M.D. (MANAGING MEMBER)
(541) 324-6250
Entity
Organization
Contact information
Practice address
2925 SISKIYOU BLVD, MEDFORD, OR 97504-8179
(541) 324-6250
Mailing address
2925 SISKIYOU BLVD, MEDFORD, OR 97504-8179
(541) 324-6250
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
MD25091
OR
Other
Enumeration date
08/03/2009
Last updated
08/03/2009
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