| NPI | 1326236449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S MOORE President 707-575-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CA G55246) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-03-25 |