| NPI | 1043698160 |
|---|---|
| Doing Business As | PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRANDON BREVIG CFO 563-547-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IA 450057H) |
| Enumeration Date | 2015-05-08 |
| Last Update Date | 2024-02-07 |