NPI 1962088013

Alpha Spine and Pain Clinic PLLC

Organisation Interventional Pain Medicine Physician Everett, WA

Practice location

Address: 3202 Colby Ave STE B, Everett, WA 98201-4324
Phone: (425) 753-6705
Mailing address: PO Box 827, Bellevue, WA 98009-0827

Authorised official

Name: Praveen Mambalam
Title: MD
Phone: (425) 753-6705

Registered specialties

Interventional Pain Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208VP0014X

Other Pain Medicine providers in Washington →

Registry record

NPI: 1962088013
Entity type: Organization
NPI issued: 19 Mar 2021
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.