Organization
PAIN DIAGNOSIS AND TREATMENT, INC.
Active
Other names
Pain Diagnosis And Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH LEE IRVIN MD (PRESIDENT/ PHYSICIAN)
(251) 342-0001
Entity
Organization
Contact information
Practice address
6001 AIRPORT BLVD, MOBILE, AL 36608-3142
(251) 342-0001
(251) 342-0002
Mailing address
6001 AIRPORT BLVD, MOBILE, AL 36608-3142
(251) 342-0001
(251) 342-0002
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
07/22/2016
Last updated
08/09/2016
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