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Organization

ADVANCED PAIN CARE, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARY D WERNER (OFFICE MANAGER)
(541) 482-1712
Entity
Organization

Contact information

Practice address
638 N MAIN ST, SUITE A, ASHLAND, OR 97520-1887
(541) 482-1712
(541) 482-1777
Mailing address
638 N MAIN ST, SUITE A, ASHLAND, OR 97520-1887
(541) 482-1712
(541) 482-1777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD18140
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
R110996
PTAN
OR
Enumeration date
10/17/2012
Last updated
10/18/2012
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