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NPI Code Detail

MEDICARE: SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS

MEDICARE: SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1447501275
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS
Provider Business Mailing Address
First Line : PO BOX 388
Second Line :
City : NEWTON
State : KS
Zip : 67114-0388
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 307 N HOSPITAL DR
Second Line :
City : GIRARD
State : KS
Zip : 66743-2014
Country : US
Telephone Number : 620-724-8809
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DONALD BEISSEL
Credential :
Telephone Number : 620-724-8809
Provider Enumeration Date : 09/19/2012
Last Update Date : 09/19/2012

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Directions to “SOUTHWEST INTERVENTIONAL PAIN SPECIALISTS ” Practice Location

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