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Organization

V5 SPINE CENTER AND PAIN CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDEN MANAWADU (CEO)
(509) 946-3340
Entity
Organization

Contact information

Practice address
1075 JADWIN AVE, SUITE 201, RICHLAND, WA 99352-3437
(509) 946-3340
(509) 943-7909
Mailing address
PO BOX 1408, RICHLAND, WA 99352-1408

Taxonomy

Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary

Other

Enumeration date
07/11/2012
Last updated
07/11/2012
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