| NPI | 1205580073 |
|---|---|
| Doing Business As | MEADOW CITY PROCEDURAL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | TRACY C RATZLAFF Owner 505-434-7289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2022-02-09 |
| Last Update Date | 2022-02-16 |