| NPI | 1043445513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN D HOPE Owner 208-233-8344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ID M-10047) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2009-05-27 |