Organization
PRIVIA MEDICAL GROUP, LLC
Active
Other names
The Washington Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREEN CLANCY (SENIOR VICE PRESIDENT)
(571) 366-8850
Entity
Organization
Contact information
Practice address
3301 NEW MEXICO AVE NW, SUITE 346, WASHINGTON, DC 20016-3622
(571) 366-8850
Mailing address
950 N GLEBE RD STE 700, ARLINGTON, VA 22203-4173
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
09/01/2016
Last updated
03/05/2020
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