NPI | 1144756768 |
---|---|
Other Name | PAIN CENTER OF WEST VIRGINIA |
Entity Type | Organization |
Authorized Contact | AMANDA LARRICK Practice Coordinator 304-263-6165 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: WV 25285) |
Enumeration Date | 2017-05-02 |
Last Update Date | 2021-02-25 |