| NPI | 1063415586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE WEILBAECHER President 985-892-3225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: LA 016304) |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2009-10-30 |