Organization
SPINE, ORTHOPEDIC AND PAIN CENTER PC
Active
Other names
Spine & Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PAUL MARTIRE MD (MEDICAL DIRECTOR)
(701) 751-7750
Entity
Organization
Contact information
Practice address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 751-7750
(701) 751-7734
Mailing address
121 W CENTURY AVE, BISMARCK, ND 58503-1402
(701) 751-7750
(701) 751-7734
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01060/002
BCBS GROUP NUMBER
ND
05
—
13043
—
ND
Enumeration date
03/15/2006
Last updated
04/07/2022
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