| NPI | 1275061434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CHURCH Manager 844-325-5721 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: AZ 28649) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2022-07-21 |