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Advanced Spine and Pain Centers

Organization Active NPI Pain Medicine (Anesthesiology) Physician · Stafford, VA

NPI 1235877358 · NPPES record last updated May 27, 2022

Key facts

NPI
1235877358
Entity type
Organization (NPI type 2)
Primary specialty
Pain Medicine (Anesthesiology) Physician 207LP2900X
Legal business name
ADVANCED SPINE AND PAIN CENTERS
Practice address
450 Garrisonville Rd Ste 109
Stafford, VA 22554-1615
Phone
(703) 522-2727
Fax
(703) 542-3753
NPI assigned
May 27, 2022
Organization subpart
No

Authorized official

Name
Brian Lee, MD
Title
Owner
Phone
(410) 698-2665

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Advanced Spine and Pain Centers (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207L00000X
Pain Medicine (Anesthesiology) Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207LP2900X Yes
Neurological Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207T00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Physician Assistant
Group: 193200000X MULTI-SPECIALTY GROUP		 363A00000X
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X

Addresses

Primary practice location

450 Garrisonville Rd Ste 109
Stafford, VA 22554-1615

Mailing address

217 E Churchville Rd
Bel Air, MD 21014-3825
Phone (410) 698-2665

Other practice location 1

3500 Boston St Ste J
Baltimore, MD 21224-5251
Phone (410) 732-2727

Other practice location 2

3720 Washington Blvd Ste 100
Halethorpe, MD 21227-1660
Phone (410) 732-2727

Other names

  • Advanced Spine and Pain Centers, PLLC Other name

Other providers in Stafford, VA

All providers in Stafford, VA · Pain Medicine (Anesthesiology) Physician in Virginia

Sources for this page

Verify at the official NPI Registry.