Organization
ADVANCED SPINE AND PAIN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLIE SEAGO (REVENUE CYCLE MANAGER)
(214) 378-4656
Entity
Organization
Contact information
Practice address
22255 GREENFIELD RD, SUITE 500, SOUTHFIELD, MI 48075-3710
(214) 378-4656
(866) 375-8173
Mailing address
PO BOX 674074, DALLAS, TX 75267-4074
(214) 378-4656
(866) 375-8173
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
4301051183
MI
Other
Enumeration date
06/29/2016
Last updated
06/29/2016
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