NPI | 1073568325 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMMY NOLAN PONDER Owner/CEO 985-580-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Enumeration Date | 2006-05-24 |
Last Update Date | 2013-08-08 |