| NPI | 1023876232 |
|---|---|
| Doing Business As | LEGACY SPINE AND PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | ALAN GONZALEZ-COTA CEO 301-962-4278 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-12 |
| Last Update Date | 2024-03-12 |