Organization
THE PAIN CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSTANCE REDMAN (PRACTICE MANAGER)
(614) 777-5860
Entity
Organization
Contact information
Practice address
1199 DELAWARE AVE, MARION, OH 43302-6475
(740) 375-0901
(740) 375-0040
Mailing address
PO BOX 3022, DUBLIN, OH 43016-0012
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2630942
—
OH
Enumeration date
10/05/2007
Last updated
10/05/2007
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