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 Pain Medicine, Pain Medicine | |
Enumeration Date | 2012-02-15 |
Last Update Date | 2012-06-28 |