| NPI | 1013476936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENN FLANAGAN President 392-767-0742 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2019-03-19 |
| Last Update Date | 2019-09-24 |