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Contact Information

MODERN PAIN & SPINE PC
1540 JUAN TABO BLVD NE STE A
ALBUQUERQUE, NM87112-4460
 Phone: 505-529-8511
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Neurology

2084N0400X 13 Physician/Neurology
 

Occupational Medicine

2083X0100X 84 Physician/Preventive Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for MODERN PAIN SPINE PC · (Female)

NPI # 1821695081
Status Active
Credentials
Entity Individual
Enumeration date 10/01/2020
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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