| NPI | 1174067458 |
|---|---|
| Doing Business As | CLINIC FOR SPECIALTY PAIN SERVICES |
| Entity Type | Organization |
| Authorized Contact | RENATO J SUNTAY CFO 814-333-5031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD421359) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |