Alpha Spine and Pain Clinic Pllc
NPI #1962088013 in Everett, Washington
Provider Information
- NPI Number
- 1962088013
- Entity Type
- Organization
- Organization Name
- Alpha Spine and Pain Clinic Pllc
- Primary Specialty
- Pain Medicine - Interventional Pain Medicine
- Enumeration Date
- Mar 19, 2021
- Last Updated
- Feb 7, 2023
Practice Location
- Address
- 3202 COLBY AVE STE B
- City
- Everett
- State
- Washington
- ZIP Code
- 98201-4324
- Phone
- (425) 753-6705
Authorized Official
- Name
- PRAVEEN MAMBALAM
- Title
- MD
- Phone
- (425) 753-6705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pain Medicine - Interventional Pain Medicine — Interventional Pain Medicine |
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