| NPI | 1053754630 |
|---|---|
| Doing Business As | LAS VEGAS PAIN RELIEF CENTER |
| Entity Type | Organization |
| Authorized Contact | JON S PETRICK Clinical Director 702-948-2520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NV 4511) |
| Additional Taxonomies | 111NS0005X Chiropractor, Sports Physician (Licence: NV B00848) |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2015-03-02 |