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Dr. Edward Michael Outlaw, MD
Pain Medicine (Physical Medicine & Rehabilitation) Physician in Stockton, California
NPI 1891792743

Edward Michael Outlaw is a Pain Medicine (Physical Medicine & Rehabilitation) Physician based in Stockton, CA and is specialized in Pain Medicine. Edward Michael Outlaw practices in Stockton, CA and has the professional credentials of MD. The NPI Number for Edward Michael Outlaw is 1891792743 and holds a License No. 10630 (California).

The current practice location address for Edward Michael Outlaw is 4505 Precissi Ln Ste A, Stockton, CA and can be reached out via phone at 209-425-3815. You can also correspond with Edward Michael Outlaw through the mailing address at 10926 MERRITT DR, STOCKTON, CA - 95219-7192 (mailing address contact number: 702-592-0713).

Location: 4505 Precissi Ln Ste A, Stockton, CA, 95219-7192
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891792743
Provider Name
Edward Michael Outlaw
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4505 Precissi Ln Ste A, Stockton, CA, 95219-7192
Phone Number
209-425-3815
Fax Number
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100500786 05 NV
institution
Provider Business Practice Location Address Details
Address
4505 Precissi Ln Ste A
City
Stockton
State
California
Zip
95207-6240
Phone Number
209-425-3815
Fax Number
person
Provider Business Mailing Address Details
Address
10926 Merritt Dr
City
Stockton
State
California
Zip
95219-7192
Phone Number
702-592-0713
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Physical Medicine & Rehabilitation
Speciality
Pain Medicine
Taxonomy
2081P2900X
License No.
10630 (Nevada)
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pain Medicine
Speciality
Interventional Pain Medicine
Taxonomy
208VP0014X
License No.
10630 (Nevada)
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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