| NPI | 1295101715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENTINA MAYKO CEO 814-467-4055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2018-05-07 |