NPI | 1265726871 |
---|---|
Doing Business As | SOUTHWEST PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | KRISTEN PREISCH Administrator 307-212-9472 |
Organization Subpart ? | No |
Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WY 7706A) |
Enumeration Date | 2011-06-01 |
Last Update Date | 2020-12-29 |