NPI | 1275879017 |
---|---|
Doing Business As | PACIFIC PAIN TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | TAMMY JOLENE PENHOLLOW Medical Director 415-567-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
Enumeration Date | 2012-12-26 |
Last Update Date | 2012-12-26 |