Organization
ALEXANDRIA INTERVENTIONAL PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK R KING D.O. (OWNER)
(703) 212-4770
Entity
Organization
Contact information
Practice address
2867 DUKE ST, ALEXANDRIA, VA 22314-4512
(703) 212-4770
(703) 212-4877
Mailing address
PO BOX 22245, ALEXANDRIA, VA 22304-9224
(703) 212-4770
(703) 212-4877
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
0102050164
VA
Other
Enumeration date
01/26/2010
Last updated
01/26/2010
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