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Organization

PAIN MANAGEMENT INTERVENTIONS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN SOETER MD (OWNER)
(219) 983-8300
Entity
Organization

Contact information

Practice address
2000 ROOSEVELT RD, VALPARAISO, IN 46383-2800
(219) 983-8300
(573) 776-6127
Mailing address
PO BOX 393, POPLAR BLUFF, MO 63902-0393
(573) 785-4601
(573) 776-6127

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
IN
208VP0014X
Interventional Pain Medicine Physician
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
505222703
MO
Enumeration date
04/07/2006
Last updated
02/09/2018
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