Organization
ADVANCED SPINE & PAIN MANAGEMENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MUKARRAM A. KHAN D.O. (DO/OWNER)
(937) 322-8977
Entity
Organization
Contact information
Practice address
2816 W 1ST ST, SPRINGFIELD, OH 45504-4264
(937) 322-8977
(937) 322-5837
Mailing address
2816 W 1ST ST, SPRINGFIELD, OH 45504-4264
(937) 322-8977
(937) 322-5837
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
OH
Other
Enumeration date
01/24/2014
Last updated
05/19/2014
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