NPI | 1215173000 |
---|---|
Entity Type | Organization |
Authorized Contact | JONAS R. SKARDIS Owner 505-670-5060 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 159Rx2) |
Additional Taxonomies | 208D00000X General Practice (Licence: NM 192Rx2) |
208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NM 192Rx2) | |
Enumeration Date | 2008-12-28 |
Last Update Date | 2008-12-28 |