| NPI | 1083239933 |
|---|---|
| Other Name | TIDALHEALTH PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE GARY CFO 410-912-6059 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-02-28 |