| NPI | 1265029045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAOMI MONTANEZ Authorized Official/Office Manager 804-506-0526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2020-12-28 |
| Last Update Date | 2023-06-25 |