Organization
BRIDGEPORT PAIN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL POUPARINAS M.D. (OWNER)
(256) 437-8188
Entity
Organization
Contact information
Practice address
47053 AL HIGHWAY 277, SUITE B, BRIDGEPORT, AL 35740-7205
(256) 437-8188
(256) 437-8189
Mailing address
47053 AL HIGHWAY 277, SUITE B, BRIDGEPORT, AL 35740-7205
(256) 437-8188
(256) 437-8189
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
28396
AL
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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