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Organization
ADVANCED SPINE AND PAIN CENTER, P.A.
Active
Organization
ADVANCED SPINE AND PAIN CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHID IDRISSI MD (PHYSICIAN OWNER)
(919) 894-1740
Entity
Organization
Contact information
Practice address
166 SPRINGBROOK AVE, SUITE 105, CLAYTON, NC 27520-8520
(919) 359-8643
Mailing address
166 SPRINGBROOK AVE, SUITE 105, CLAYTON, NC 27520-8520
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
NULL
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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