NPI 1073976601

Shakopee Pain Clinic

Organisation Health Maintenance Organization Shakopee, MN

Practice location

Address: 255 1st Ave E, Shakopee, MN 55379-1440
Phone: (952) 777-2990

Authorised official

Name: Antonio Barrientez
Title: Owner
Phone: (952) 777-2990

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 866867100036 (MN)

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Registry record

NPI: 1073976601
Entity type: Organization
NPI issued: 31 Mar 2016
Record last updated: 31 Mar 2016

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.