Organization
D&R PAIN MANAGEMENT INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLEN LIST (MANAGER)
(724) 528-1088
Entity
Organization
Contact information
Practice address
239 EDGEWOOD DR. EXT., TRANSFER, PA 16154
(724) 646-0400
Mailing address
PO BOX 1088, HERMITAGE, PA 16148-0088
(724) 528-1088
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012084910001
—
PA
Enumeration date
08/07/2006
Last updated
02/06/2013
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