NPI | 1194373738 |
---|---|
Doing Business As | SIERRA BIOTENSEGRITY |
Entity Type | Organization |
Authorized Contact | BRETT LOCKMAN President 209-536-4776 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine |
204D00000X Neuromusculoskeletal Medicine & OMM | |
208100000X Physical Medicine & Rehabilitation | |
2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine | |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
Enumeration Date | 2019-08-27 |
Last Update Date | 2022-08-11 |