| NPI | 1144952029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH B PATEL CEO/Medical Director 551-655-0953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2022-11-18 |