| NPI | 1275581654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EDWARD WILSON President 877-873-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: IL 036078688) |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 208VP0014X Pain Medicine Interventional Pain Medicine | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2009-01-23 |