NPI | 1316358211 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN MACATEE Sole Proprietor 319-331-1860 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: IA 3895) |
Enumeration Date | 2014-05-13 |
Last Update Date | 2014-05-13 |