NPI 1124764220 · live from the CMS NPI Registry
Advanced Spine And Pain Centers
Anesthesiology, Pain Medicine in Stafford, VA. National Provider Identifier 1124764220, active.
NPI record
| NPI | 1124764220 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 450 Garrisonville Rd Ste 109, Stafford, VA 22554 |
| Practice phone | 703-522-2727 |
| Mailing address | 217 E Churchville Rd, Bel Air, MD 21014 |
| Enumerated | May 11, 2022 |
| Last updated | May 11, 2022 |
| Authorized official | Brian Lee, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist | 225100000X | — |
| Physician Assistant | 363A00000X | — |
| Nurse Practitioner | 363L00000X | — |
| Anesthesiology | 207L00000X | — |
| Anesthesiology, Pain Medicine primary | 207LP2900X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.