Organization · Type 2 NPI
Pain Center of Wyoming Valley, LLC
Ambulatory Surgical Clinic/Center · Wilkes Barre, PA
NPI number
1629409578
Active
Practice location
142 Mundy St
Wilkes Barre, PA 18702-6875
Fax (570) 270-2015
Mailing address
1177 Highway 315 Blvd, Dolphin Plaza
Wilkes Barre, PA 18702-6928
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Surgical Clinic/Center Primary | 261QA1903X | 23881501 (PA) |
Ambulatory Surgical Clinic/Center: Definition to come...
2 other providers at this address
Other ambulatory surgical clinic/center providers in Wilkes Barre
About NPI 1629409578
Pain Center of Wyoming Valley, LLC's National Provider Identifier is 1629409578, issued on Dec 3, 2013. The primary taxonomy on file is Ambulatory Surgical Clinic/Center (261QA1903X), and the practice location is in Wilkes Barre, PA. The record was last updated on May 4, 2023.