Alexandria Interventional Pain Management
Anesthesiology, Pain Medicine in Alexandria, VA. Organization (NPI-2).
NPI number1295066652
StatusActive
Last updated in NPPESJan 26, 2010
Details
- NPI
- 1295066652
- Entity type
- Organization (NPI-2)
- Legal business name
- Alexandria Interventional Pain Management
- Organization subpart
- No
- Enumeration date
- Jan 26, 2010
- Last updated
- Jan 26, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207LP2900X | Anesthesiology, Pain Medicine | 0102050164 | VA | Yes |
Practice location
2867 Duke StAlexandria, VA 22314-4512
Phone 703-212-4770 · Fax 703-212-4877
Mailing address
Po Box 22245Alexandria, VA 22304-9224
Phone 703-212-4770 · Fax 703-212-4877
Authorized official
Mark R King
Owner
7032124770
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