NPI | 1124709290 |
---|---|
Entity Type | Organization |
Authorized Contact | RHODA LEE REICH Owner, CEO/COO 509-824-6080 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-07-31 |
Last Update Date | 2023-08-02 |