Organization
PAIN MANAGEMENT INTERVENTIONS, LLC
Active
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
Update your record
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