| NPI | 1023196391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MEADOWS Director Of Corporate Compliance 681-342-1610 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine (Licence: WV 107) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2014-04-23 |