Organization
SURGICAL PAIN SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT T. QUAVE (OWNER / PHYSICIAN)
(541) 227-8697
Entity
Organization
Contact information
Practice address
701 GOLF VIEW DR, MEDFORD, OR 97504
(541) 227-8697
Mailing address
PO BOX 4034, MEDFORD, OR 97504
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
MD157375
OR
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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