Organization
ADVANDCED PAIN MGMT SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHALL D BEDDER (PHYSICIAN)
(239) 437-8000
Entity
Organization
Contact information
Practice address
1425 VISCAYA PKWY, #202, CAPE CORAL, FL 33990-3294
(239) 437-8000
Mailing address
3607 OLD CONEJO RD, THOUSAND OAKS, CA 91320-2123
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
ME92411
FL
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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