NPI | 1124087549 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY R MATHENY Treasurer 304-422-3904 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2006-03-23 |
Last Update Date | 2007-11-06 |