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
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
02/11/2016
Last updated
02/11/2016
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