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NPI Code Detail

MEDICARE: COMPREHENSIVE PAIN CENTER, PC

MEDICARE: COMPREHENSIVE PAIN CENTER, PC
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
1207LP2900XPain Medicine (Anesthesiology) Physician

General Provider Information

NPI Number : 1871137943
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMPREHENSIVE PAIN CENTER, PC
Provider Business Mailing Address
First Line : 2700 HIGHWAY 280 S STE 212
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-878-4368
Fax Number : 205-878-4367
Provider Business Practice Location Address
First Line : 2700 HIGHWAY 280 S STE 212
Second Line :
City : MOUNTAIN BRK
State : AL
Zip : 35223-2468
Country : US
Telephone Number : 205-623-3411
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. RON BENTON PITKANEN
Credential : MD
Telephone Number : 205-878-4368
Provider Enumeration Date : 11/01/2019
Last Update Date : 07/21/2020

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Directions to “COMPREHENSIVE PAIN CENTER, PC ” Practice Location

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