Organization
INTERVENTIONS IN PAIN MANAGEMENT LLC
Active
Parent organization
INTERVENTIONS IN PAIN MANAGEMENT LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTERVENTIONS IN PAIN MANAGEMENT LLC
Authorized official
KERRY PANOZZO M.D. (OWNER)
(309) 721-3288
Entity
Organization
Contact information
Practice address
3509 SPRING ST STE 3, DAVENPORT, IA 52807-2124
(309) 428-7055
Mailing address
4110 BLACKHAWK RD STE 2, ROCK ISLAND, IL 61201-7039
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
10/25/2016
Last updated
04/03/2017
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