Organization
VIRGINIA INTERVENTIONAL PAIN SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL C MARTIN M.D. (PRESIDENT)
(804) 282-6160
Entity
Organization
Contact information
Practice address
7603 FOREST AVE, COURTYARD BUILDING, HENRICO DRS. HOSPITAL, RICHMOND, VA 23229-4944
(804) 282-6160
(804) 282-3120
Mailing address
PO BOX 1269, MIDLOTHIAN, VA 23113-8269
(804) 282-6160
(804) 282-3120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101040954
VA
Other
Enumeration date
06/03/2006
Last updated
08/22/2020
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