NPI | 1134891963 |
---|---|
Doing Business As | PENINSULA PAIN CLINIC |
Entity Type | Organization |
Authorized Contact | ERIKA STUIT Practice Administrator 360-752-0518 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
261Q00000X Clinic/Center | |
Enumeration Date | 2021-09-30 |
Last Update Date | 2022-04-28 |