| NPI | 1093654691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PAPENFUHS Billing Manager 703-522-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2026-03-27 |
| Last Update Date | 2026-03-27 |