| NPI | 1144646787 |
|---|---|
| Doing Business As | CENTRAL STATES PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN LEDET Owner 515-991-6790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 363AM0700X Physician Assistant, Medical | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2023-07-19 |