NPI 1174876643

Central Medical Clinic PLLC

Organisation Pain Medicine Physician Saint Paul, MN

Practice location

Address: 393 Dunlap St N Suite Ll34, Saint Paul, MN 55104-4200
Phone: (651) 644-6002

Authorised official

Name: Alfonso Morales-Utrilla
Title: Medical Director
Phone: (651) 644-6002

Registered specialties

Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0000X Licence 37899 (MN)

Other Pain Medicine providers in Minnesota →

Registry record

NPI: 1174876643
Entity type: Organization
NPI issued: 22 Oct 2012
Record last updated: 1 Nov 2013

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.