Organization
PHYSICIANS INTERVENTIONAL PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA WILLIS (SOLE MEMBER)
(302) 521-9703
Entity
Organization
Contact information
Practice address
825 DAVIS ST, #E, BLACKSBURG, VA 24060-7013
(540) 953-3300
Mailing address
745 OLD WILMINGTON RD, HOCKESSIN, DE 19707-9305
(302) 521-9703
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/05/2013
Last updated
02/05/2013
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