NPI | 1235470634 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDON SORENSEN Medical Director 559-713-6515 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CA A124459) |
Enumeration Date | 2013-03-09 |
Last Update Date | 2013-06-02 |