| NPI | 1306124086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H ODELL Owner 702-257-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2012-02-17 |