Organization
CELL BIONICS INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN CHURCHILL MD (MEDICAL DIRECTOR)
(703) 894-2224
Entity
Organization
Contact information
Practice address
502 W BROAD ST STE 1B, FALLS CHURCH, VA 22046-3206
(703) 894-2224
(315) 800-5196
Mailing address
502 W BROAD ST STE 1B, FALLS CHURCH, VA 22046-3206
(703) 894-2224
(315) 800-5196
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295786150
NPPES - NPI
—
Enumeration date
08/03/2023
Last updated
08/03/2023
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