| NPI | 1083506265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITNI CULLEN Sr. Vice President 443-837-9913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208100000X Physical Medicine & Rehabilitation | |
| 208VP0000X Pain Medicine Pain Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2025-07-21 |
| Last Update Date | 2025-07-21 |