Organization
BETTER LIFE PAIN CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SU MIN KO MD (OWNER)
(347) 325-4390
Entity
Organization
Contact information
Practice address
11166 FAIRFAX BLVD, SUITE 105, FAIRFAX, VA 22030-5017
(703) 277-3360
(703) 277-3370
Mailing address
11166 FAIRFAX BLVD, SUITE 105, FAIRFAX, VA 22030-5017
(703) 277-3360
(703) 277-3370
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
0101250991
VA
Other
Enumeration date
06/21/2012
Last updated
02/20/2017
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