| NPI | 1184976136 |
|---|---|
| Doing Business As | SUMMIT PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | DANIEL C ROTH Owner 260-748-3650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2024-11-05 |