PAIN CARE SURGERY, PC

MARION, IL
NPI1184690570
Entity TypeOrganization
Authorized ContactLAXMAIAH MANCHIKANTI
Medical Director
618-997-7820
Organization Subpart ?No
Primary Taxonomy261QA1903X Clinic/Center, Ambulatory Surgical
(Licence: IL  7002900)
Enumeration Date2006-02-24
Last Update Date2011-10-05
Business Address
PAIN CARE SURGERY, PC
108 AIRWAY DR
MARION, IL 62959-5841
Phone number: 618-997-7820
Mailing Address
PAIN CARE SURGERY, PC
108 AIRWAY DR
MARION, IL 62959-5841
Phone number: 618-997-7820