Organization
INTERVENTIONS IN PAIN MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY P PANOZZO (OWNER)
(309) 721-3288
Entity
Organization
Contact information
Practice address
4550 E 53RD ST STE 100, DAVENPORT, IA 52807-3171
(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
04/19/2016
Last updated
04/19/2016
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