| NPI | 1174933907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARK LEITZKE Owner 302-287-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2014-05-01 |