Organization
PAIN CLINIC LLC
Active
Organization
PAIN CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE S GESSNER MD (OWNER)
(319) 330-4392
Entity
Organization
Contact information
Practice address
2180 NORCOR AVE, SUITE B, CORALVILLE, IA 52241-9748
(319) 330-4392
Mailing address
2180 NORCOR AVE, SUITE B, CORALVILLE, IA 52241-9748
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
28333
IA
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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