| NPI | 1285316737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUSTIN CHURCHILL Medical Director 703-894-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2023-08-03 |