Organization
ADVANCED PAIN MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXEY A RYSKIN MD (OWNER)
(435) 656-0029
Entity
Organization
Contact information
Practice address
620 S 400 E STE 201, ST GEORGE, UT 84770-7060
(435) 656-0029
(435) 656-9144
Mailing address
620 S 400 E STE 201, ST GEORGE, UT 84770-7060
(435) 656-0029
(435) 656-9144
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
5566449-1205
UT
208VP0000X
Pain Medicine Physician
5566449-1205
UT
208VP0014X
Interventional Pain Medicine Physician
5566449-1205
UT
Other
Enumeration date
09/15/2009
Last updated
10/26/2009
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