NPI 1003851163

Innovative Pain Center LLC

Organisation Interventional Pain Medicine Physician Watertown, SD

Practice location

Address: 1512 4th St NE, Watertown, SD 57201-6824
Phone: (605) 884-0100
Mailing address: 1201 Mickelson Dr STE 2, Watertown, SD 57201-7253

Authorised official

Name: Patrick L Retterath
Title: Provider
Phone: (605) 884-0100

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 0425 (SD)

Other Pain Medicine providers in South Dakota →

Registry record

NPI: 1003851163
Entity type: Organization
NPI issued: 20 Jun 2006
Record last updated: 22 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.