| NPI | 1275536294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE THOMAS SNOOK Medical Director 916-568-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-01-19 |