NPI | 1184766685 |
---|---|
Doing Business As | INLAND PAIN MEDICINE |
Entity Type | Organization |
Authorized Contact | ANDREW W HESSELTINE Medical Director 909-887-2991 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CA A66517) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 18753) |
Enumeration Date | 2007-02-12 |
Last Update Date | 2023-02-01 |