| NPI | 1093043234 |
|---|---|
| Doing Business As | CENTRAL PENINSULA PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | RICHARD DAVIS CEO 907-714-4723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: AK 937105) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: AK 937105) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2012-05-20 |