NPI | 1164830337 |
---|---|
Doing Business As | JCMG PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | JEFFRERY LEE PATRICK President 573-635-5264 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: MO 2002003282) |
Enumeration Date | 2014-07-31 |
Last Update Date | 2018-12-26 |