Organization
LOVELACE UNM REHABILITATION HOSPITAL LLC PAIN CLINC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN C. PETROVICH (EVP)
(615) 296-3000
Entity
Organization
Contact information
Practice address
500 WALTER ST NE STE 213, ALBUQUERQUE, NM 87102-2543
(505) 727-7177
(505) 727-3778
Mailing address
1 BURTON HILLS BLVD STE 250, NASHVILLE, TN 37215-6195
(615) 296-3000
(615) 296-6227
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
04/11/2019
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