| NPI | 1346131182 |
|---|---|
| Former Legal Business Name | INTERVENTIONAL SPINE SERVICES- II |
| Entity Type | Organization |
| Authorized Contact | EMILI GRAGG Manager 405-219-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |