| NPI | 1306087556 |
|---|---|
| Other Name | MEMORIAL SPINEWORKS PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | JAMESON M ROSZHART President & CEO 217-788-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2024-06-14 |