NPI 1104465681
Spine Center of PA LLC
Practice location
- Address
- 2374 Village Common Dr STE 100, Erie, PA 16506-7201
- Phone
- (814) 833-7246
- Mailing address
- 3060 Williams Dr STE 510, Fairfax, VA 22031-4648
Authorised official
- Name
- Anish Patel
- Title
- Owner
- Phone
- (301) 620-0012
Registered specialties (2)
Interventional Pain Medicine Physician
Primary
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Registry record
- NPI
- 1104465681
- Entity type
- Organization
- NPI issued
- 31 Dec 2019
- Record last updated
- 31 Dec 2019
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.