OrganizationActive
Alpha Spine and Pain Clinic PLLC
NPI 1033815352 · Interventional Pain Medicine Physician · Puyallup, WA
Provider details
- NPI number
- 1033815352
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Praveen Mambalam, MD(425) 774-1538
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
120 14th Ave Se Ste B
Puyallup, WA 98372-3718
Phone: (425) 777-4710
Fax: (888) 830-1615
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 827
Bellevue, WA 98009-0827
Registry dates
- Enumerated
- 2023-02-07
- Last updated
- 2023-02-07
- Certified
- 2023-02-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.