OrganizationActive
Dubuque Pain Clinic
NPI 1467863472 · Interventional Pain Medicine Physician · Dubuque, IA
Provider details
- NPI number
- 1467863472
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ivan Fomitchev, President(563) 564-1283
- License
- 34875 (IA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
250 Mercy Dr
Dubuque, IA 52001-7320
Phone: (563) 589-8665
Approximate (ZIP-level) locationGet directions
Mailing address
2260 Samantha Dr
Dubuque, IA 52002-0485
Registry dates
- Enumerated
- 2014-05-13
- Last updated
- 2014-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.