NPI | 1205985967 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER WAGNER Executive Director 440-816-4906 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
Enumeration Date | 2007-01-10 |
Last Update Date | 2019-02-28 |