OrganizationActive
Central Medical Clinic PLLC
NPI 1174876643 · Pain Medicine Physician · Saint Paul, MN
Provider details
- NPI number
- 1174876643
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Alfonso Morales-Utrilla, Medical Director
- License
- 37899 (MN)
Practice location
393 Dunlap St N
Suite Ll34
Saint Paul, MN 55104-4200
Phone: (651) 644-6002
Mailing address
393 Dunlap St N
Saint Paul, MN 55104-4200
Registry dates
- Enumerated
- 2012-10-22
- Last updated
- 2013-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.