| NPI | 1265435416 |
|---|---|
| Former Legal Business Name | INTERVENTIONAL PAIN MANAGEMENT |
| Entity Type | Organization |
| Authorized Contact | INNA GRIBANOVA Manager 805-782-8132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2010-12-29 |