| NPI | 1215437249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BRUNTLETT COO 707-495-9632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2024-04-11 |