Organization
ADVANCED PAIN, SPINE AND SPORTS MEDICINE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE RISPO (PRACTICE MANAGER)
(570) 202-6671
Entity
Organization
Contact information
Practice address
231 FRIEMANN LANE, SCIOTA, PA 18354
(570) 202-6671
Mailing address
231 FRIEMANN LANE, SCIOTA, PA 18354
(570) 202-6671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/13/2019
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