| NPI | 1083079941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL DONALD DANKO Owner 502-777-5607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2015-12-19 |
| Last Update Date | 2024-01-24 |