Organization
ERIE SPINE AND PAIN MANAGEMENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PREETHI RAI MS (ADMINISTATOR)
(814) 454-4599
Entity
Organization
Contact information
Practice address
2620 SIGSBEE STREET, ERIE, PA 16508
(814) 454-4599
(814) 454-4503
Mailing address
6133 VOLKMAN ROAD, ERIE, PA 16506
(814) 454-4599
(814) 454-4503
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1341793
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/16/2006
Last updated
09/05/2007
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