Provider Demographics
NPI:1184752891
Name:THE CENTER FOR PAIN TREATMENT
Entity type:Organization
Organization Name:THE CENTER FOR PAIN TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:SPANOS
Authorized Official - Suffix:
Authorized Official - Credentials:CMTPT;LMT
Authorized Official - Phone:412-431-9180
Mailing Address - Street 1:1312 E CARSON ST
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15203-1510
Mailing Address - Country:US
Mailing Address - Phone:412-431-9180
Mailing Address - Fax:412-381-6922
Practice Address - Street 1:1312 E CARSON ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15203-1510
Practice Address - Country:US
Practice Address - Phone:412-431-9180
Practice Address - Fax:412-381-6922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2014-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty