| NPI | 1326375585 |
|---|---|
| Other Name | GTBA OREGON |
| Entity Type | Organization |
| Authorized Contact | DEVANAND MANGAR CEO/President 813-844-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2012-04-27 |