NPI 1033815352

Alpha Spine and Pain Clinic PLLC

Organisation Interventional Pain Medicine Physician Puyallup, WA

Practice location

Address: 120 14th Ave SE STE B, Puyallup, WA 98372-3718
Phone: (425) 777-4710
Fax: (888) 830-1615
Mailing address: PO Box 827, Bellevue, WA 98009-0827

Authorised official

Name: Praveen Kumar Mambalam
Title: MD
Phone: (425) 774-1538

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Washington →

Registry record

NPI: 1033815352
Entity type: Organization
NPI issued: 7 Feb 2023
Record last updated: 7 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.