| NPI | 1104123892 |
|---|---|
| Doing Business As | ST. GEORGE SPINE AND PAIN INSTITUTE |
| Entity Type | Organization |
| Authorized Contact | HANY M NASR Owner 559-308-3905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2015-01-15 |