Provider Demographics
NPI:1396883377
Name:WEST CHESTER PAIN MANAGEMENT
Entity type:Organization
Organization Name:WEST CHESTER PAIN MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:DOLORES
Authorized Official - Last Name:GRAF
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-755-1341
Mailing Address - Street 1:7753 TYLERSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2543
Mailing Address - Country:US
Mailing Address - Phone:513-755-1341
Mailing Address - Fax:
Practice Address - Street 1:7753 TYLERSVILLE RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2543
Practice Address - Country:US
Practice Address - Phone:513-755-1341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty