| NPI | 1083410047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALANDO STERLING Manager 702-515-9680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-02-20 |