Organization
BRAIN, SPINE AND PAIN INSTITUTE OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT OCHIENG MBEO (MEDICAL DIRECTOR)
(407) 721-3460
Entity
Organization
Contact information
Practice address
603 W BROAD ST STE 200, FALLS CHURCH, VA 22046-3259
(443) 839-4889
Mailing address
8280 WILLOW OAKS CORPORATE DR STE 600, FAIRFAX, VA 22031-4516
(443) 839-4889
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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