| NPI | 1043604168 |
|---|---|
| Doing Business As | OWENSBORO HEALTH MEDICAL GROUP - PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | RUSSELL S RANALLO Secretary 270-417-4813 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2022-12-01 |