| Organization Name: | PARTNERS IN PAIN MANAGEMENT, MSO, LLC |
| NPI Number: | 1003123746 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ULLA B PEDERSEN (MANAGING PARTNER) |
| Mailing Address: | 1033 Champions Way Ste 100 Suffolk |
| State: | VA US |
| Postal Code: | 234353761 |
| Phone Number: | 7576463798 |
| Fax Number: | |
| NPI Enumeration Date: | 09/01/2010 |
| NPI Last Update Date: | 09/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP3300X |
| License Number: | 0102050102 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Pain |
| Taxonomy Definition: | |