Organization
ADVANCED PAIN MANAGEMENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINDAUGAS VIELAVICIUS MD (OWNER)
(253) 333-1637
Entity
Organization
Contact information
Practice address
121 N DIVISION ST, SUITE 340, AUBURN, WA 98001-4931
(253) 333-1637
(253) 351-8509
Mailing address
PO BOX 13684, SEATTLE, WA 98198-1010
(206) 592-5000
(206) 824-9510
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD00042920
WA
Other
Enumeration date
12/09/2010
Last updated
12/09/2010
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