ADVANCED SPINE AND PAIN PLLC NPI 1134490311

NPI Information

  • NPI: 1134490311
  • Provider Name: ADVANCED SPINE AND PAIN PLLC
  • Classification: Orthopaedic Surgery - 207XS0117X
  • Specialization: Orthopaedic Surgery of the Spine
  • Entity Type: Organization
  • Address: 1625 N GEORGE MASON DRIVE SUITE 345
    ARLINGTON, VA
    ZIP 22205
  • Phone: (703) 522-2727

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NPI Details

ADVANCED SPINE AND PAIN PLLC is an orthopaedic surgery of the spine orthopaedic surgery in Arlington, VA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. ADVANCED SPINE AND PAIN PLLC NPI is 1134490311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1625 N GEORGE MASON DRIVE SUITE 345
ARLINGTON, VA
ZIP 22205
Phone: (703) 522-2727
Fax: (703) 542-3753

The provider's authorized official is Thomas Raley .
The authorized official title is Principal and has the following contact phone number (703) 522-2727.

The enumeration date for this NPI number is 1/20/2012 and was last updated on 1/20/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207XS0117XOrthopaedic SurgeryOrthopaedic Surgery of the Spine0101243103VIRGINIAYes

What is NPI?

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This page was last updated on: 3/30/2025

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