Back Pain INC
NPI #1124140918 in Petersburg, Virginia
Provider Information
- NPI Number
- 1124140918
- Entity Type
- Organization
- Organization Name
- Back Pain INC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Apr 4, 2007
- Last Updated
- Feb 27, 2008
Practice Location
- Address
- 3333 S CRATER RD
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9276
- Phone
- (804) 733-6870
Authorized Official
- Name
- MS. VALERIE IRVIN
- Title
- MANAGER
- Phone
- (804) 226-8923
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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