| NPI | 1053670430 |
|---|---|
| Doing Business As | BALTIMORE PAIN RELIEF CENTER |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY J GOBER President 443-725-4930 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: MD 60828) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: MD 3470) |
| 363A00000X Physician Assistant (Licence: MD 3825) | |
| 363A00000X Physician Assistant (Licence: MD 3868) | |
| Enumeration Date | 2012-05-07 |
| Last Update Date | 2012-05-07 |