| NPI | 1033997671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA GAYER COO 240-291-5145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2024-06-27 |