Spine and Sports Regenerative Medicine Institute

NPI #1114764107 in Fairfax, Virginia

Provider Information

NPI Number
1114764107
Entity Type
Organization
Organization Name
Spine and Sports Regenerative Medicine Institute
Primary Specialty
Pain Medicine - Interventional Pain Medicine
Enumeration Date
Jul 9, 2024
Last Updated
Jul 16, 2024

Practice Location

Address
10721 MAIN ST STE 304
ZIP Code
22030-6902
Phone
(703) 349-4205

Authorized Official

Name
DR. DAVID KIM, MD
Title
CEO
Phone
(703) 349-4205

Specialties & Taxonomy Codes

Specialty
Pain Medicine - Pain MedicinePain Medicine
Pain Medicine - Interventional Pain MedicineInterventional Pain Medicine

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