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Organization
PAIN DIAGNOSIS AND TREATMENT, INC.
Active
Organization
PAIN DIAGNOSIS AND TREATMENT, INC.
Active
Other names
Pain Diagnosis And Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LEE IRVIN MD (PRESIDENT/ PHYSICIAN)
(251) 342-0001
Entity
Organization
Contact information
Practice address
6001 AIRPORT BLVD, MOBILE, AL 36608-3142
(251) 342-0001
(251) 342-0002
Mailing address
6001 AIRPORT BLVD, MOBILE, AL 36608-3142
(251) 342-0001
(251) 342-0002
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
07/22/2016
Last updated
08/09/2016
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