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Organization
ADVANCED PAIN, SPINE AND SPORTS MEDICINE, P.C.
Active
Organization
ADVANCED PAIN, SPINE AND SPORTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RISPO (PRACTICE MANAGER)
(570) 202-6671
Entity
Organization
Contact information
Practice address
231 FRIEMANN LANE, SCIOTA, PA 18354
(570) 202-6671
Mailing address
231 FRIEMANN LANE, SCIOTA, PA 18354
(570) 202-6671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/13/2019
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