Organization
INTERVENTIONAL PAIN SERVICES OF WESTERN NORTH CAROLINA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN NORMAN ZACHER III MD (MEDICAL DIRECTOR)
(828) 627-9998
Entity
Organization
Contact information
Practice address
24 FALCON CREST LN, CLYDE, NC 28721-6620
(828) 627-9998
(828) 627-9946
Mailing address
24 FALCON CREST LN, CLYDE, NC 28721-6620
(828) 627-9998
(828) 627-9946
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
30531
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1790761096
INDIVIDUAL NPI
NC
05
—
891349F
—
NC
Enumeration date
08/23/2007
Last updated
10/05/2007
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