PHYSICIANS PAIN AND SPINE SPECIALISTS NPI 1639417819

NPI Information

PHYSICIANS PAIN AND SPINE SPECIALISTS is an interventional pain medicine pain medicine in Gulfport, MS. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. PHYSICIANS PAIN AND SPINE SPECIALISTS NPI is 1639417819. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14986 ANGELA DR
GULFPORT, MS
ZIP 39503-502
Phone: (228) 357-5464
Fax: (877) 563-0603

The provider's authorized official is Shawn X Wu .
The authorized official title is Medical Director and has the following contact phone number (248) 342-5207.

The CLIA number assigned to this NPI record is 25D2097351 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2013 and was last updated on 1/18/2021.

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:

Other Identifiers

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