NPI | 1215124870 |
---|---|
Doing Business As | COMMONWEALTH PAIN SPECIALISTS |
Entity Type | Organization |
Authorized Contact | STEPHEN P LONG Medical Director/Partner 804-288-7246 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 174400000X Specialist (Licence: VA 0101043055) |
207LP2900X Anesthesiology, Pain Medicine | |
208VP0000X Pain Medicine, Pain Medicine | |
Enumeration Date | 2007-09-27 |
Last Update Date | 2020-01-31 |