institution
Summit Pain Alliance Inc
Specialist in Santa Rosa, California
NPI 1558630020

Summit Pain Alliance Inc is a Specialist based in Santa Rosa, CA. Summit Pain Alliance Inc practices in Santa Rosa, CA. The NPI Number for Summit Pain Alliance Inc is 1558630020 and holds a License No. A112702 (California).

The current practice location address for Summit Pain Alliance Inc is 392 Tesconi Ct, Santa Rosa, CA and can be reached out via phone at 707-623-9803.

Location: 392 Tesconi Ct, Santa Rosa, CA, 95401-4653
institution
Provider Profile Details
NPI Number
1558630020
Provider Name
Summit Pain Alliance Inc
Credential
Provider Entity Type
Organization
Address
392 Tesconi Ct, Santa Rosa, CA, 95401-4653
Phone Number
707-623-9803
Fax Number
Provider Enumeration Date
12/29/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FS634A 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
392 Tesconi Ct
City
State
Zip
95401-4653
Phone Number
707-623-9803
Fax Number
person
Provider Business Mailing Address Details
Address
392 Tesconi Ct
City
State
Zip
95401-4653
Phone Number
707-623-9803
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
A112702 (California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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