Organization
CENTER FOR INTERVENTIONAL PAIN SPINE LLC
Active
Other names
Center for Interventional Pain and Spine
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY ROPER (OFFICE ADMINISTRATOR)
(844) 365-7246
Entity
Organization
Contact information
Practice address
291 CARTER DR STE A, MIDDLETOWN, DE 19709-5845
(844) 365-7246
(844) 516-0080
Mailing address
291 CARTER DR STE A, MIDDLETOWN, DE 19709-5845
(844) 365-7246
(844) 516-0080
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256029102
—
MD
Enumeration date
08/05/2024
Last updated
08/05/2024
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