NPI | 1316980386 |
---|---|
Doing Business As | CHRONIC PAIN MANAGEMENT |
Entity Type | Organization |
Authorized Contact | DOMINIA TALLARICO COO 612-222-2222 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
Enumeration Date | 2006-06-14 |
Last Update Date | 2024-03-21 |