Organization · Type 2 NPI

Spine and Sports Regenerative Medicine Institute

Interventional Pain Medicine Physician · Fairfax, VA

NPI number 1114764107 Active

Practice location

10721 Main St Ste 304
Fairfax, VA 22030-6902

Fax (703) 349-4205

Specialties and licenses

TaxonomyCodeLicense
Pain Medicine Physician 208VP0000XNone listed
Interventional Pain Medicine Physician Primary 208VP0014XNone listed

Interventional Pain Medicine Physician: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

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About NPI 1114764107

Spine and Sports Regenerative Medicine Institute's National Provider Identifier is 1114764107, issued on Jul 9, 2024. The primary taxonomy on file is Interventional Pain Medicine Physician (208VP0014X), and the practice location is in Fairfax, VA. The record was last updated on Jul 16, 2024.