| NPI | 1083193031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELSON K BOND Authorized Official 844-342-2227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-10 |