Organization
PAIN, SPINE & REHAB.,A.S.C.,P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BELL MANANIRINA RAZAFINDRABE M.D. (RESIDENT AGENT)
(620) 792-2991
Entity
Organization
Contact information
Practice address
925 S PATTON RD, SUITE B, GREAT BEND, KS 67530-4627
(620) 792-2991
(620) 792-3804
Mailing address
925 S PATTON RD, SUITE B, GREAT BEND, KS 67530-4627
(620) 792-2991
(620) 792-3804
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0431344
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200354350C
—
KS
Enumeration date
10/29/2012
Last updated
10/29/2012
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