Organization
PAIN MANAGEMENT DEPOT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN AKIOYAME DNP (OWNER)
(702) 992-3563
Entity
Organization
Contact information
Practice address
811 S DECATUR BLVD, LAS VEGAS, NV 89107-3933
(702) 808-6501
(702) 685-8450
Mailing address
2465 REYNOLDS AVE STE 301, N LAS VEGAS, NV 89030-7296
(702) 992-3563
(725) 204-5455
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2600379066
DRIVERS LICENSE
NV
Enumeration date
04/22/2020
Last updated
12/15/2021
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