Washington Pain and Spine Specialists LLC

NPI #1992486906 in Olympia, Washington

Provider Information

NPI Number: 1992486906
Entity Type: Organization
Organization Name: Washington Pain and Spine Specialists LLC
Primary Specialty: Clinic/Center - Pain
Enumeration Date: Jul 31, 2023
Last Updated: Jul 31, 2023

Practice Location

Address: 3525 ENSIGN RD NE STE J
City: Olympia
State: Washington
ZIP Code: 98506-5065
Phone: (240) 463-4101

Authorized Official

Name: DR. PRAVEEN KUMAR MAMBALAM, MD
Title: OWNER
Phone: (240) 463-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Pain — Pain	261QP3300X	Primary

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