NPI | 1174794366 |
---|---|
Doing Business As | MODESTO PAIN MEDICINE, INC. |
Entity Type | Organization |
Authorized Contact | CHRISTOPHER AMSDEN CEO 209-525-8292 |
Organization Subpart ? | No |
Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2008-03-17 |
Last Update Date | 2023-03-07 |