Organization Name: | COMPREHENSIVE ANESTHESIA AND MANAGED PAIN SYSTEMS, INC. |
NPI Number: | 1255614277 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN ALAN BURIA (OWNER) |
Mailing Address: | 750 E 34th St Hibbing |
State: | MN US |
Postal Code: | 557462341 |
Phone Number: | 2183123002 |
Fax Number: | 2183123003 |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 01/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP3300X |
License Number: | 033673 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Pain |
Taxonomy Definition: |