| NPI | 1154694552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES WESTERMAN Administrator 520-498-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| 208VP0000X | |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-06-28 |