NPI 1467863472

Dubuque Pain Clinic

Organisation Interventional Pain Medicine Physician Dubuque, IA

Practice location

Address: 250 Mercy Dr, Dubuque, IA 52001-7320
Phone: (563) 589-8665
Mailing address: 2260 Samantha Dr, Dubuque, IA 52002-0485

Authorised official

Name: Ivan Fomitchev
Title: President
Phone: (563) 564-1283

Registered specialties (2)

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X Licence 34875 (IA)

Other Pain Medicine providers in Iowa →

Pain Medicine Physician

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 34875 (IA)

Registry record

NPI: 1467863472
Entity type: Organization
NPI issued: 13 May 2014
Record last updated: 13 May 2014

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.