NPI | 1184111890 |
---|---|
Doing Business As | PAIN CENTER OF HENDERSON |
Entity Type | Organization |
Authorized Contact | STEVEN L. OLENCHAK Provider, Owner 702-476-5552 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2018-04-18 |
Last Update Date | 2019-03-06 |