# ALEXANDRIA INTERVENTIONAL PAIN MANAGEMENT

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295066652
- **Authorized official:** DR. MARK R KING D.O. (OWNER)
- **Authorized official phone:** (703) 212-4770

## Contact information

- **Practice address:** 2867 DUKE ST, ALEXANDRIA, VA 22314-4512
- **Practice address phone:** (703) 212-4770
- **Practice address fax:** (703) 212-4877
- **Mailing address:** PO BOX 22245, ALEXANDRIA, VA 22304-9224
- **Mailing address phone:** (703) 212-4770
- **Mailing address fax:** (703) 212-4877

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 0102050164 | VA | Yes |

## Other

- **Enumeration date:** 01/26/2010
- **Last updated:** 01/26/2010