| NPI | 1356066765 |
|---|---|
| Doing Business As | GRAND VALLEY INTERVENTIONAL PAIN MANAGEMENT CLINIC |
| Doing Business As | GRAND VALLEY THORACIC/VASCULAR |
| Doing Business As | GRAND VALLEY SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN THOMAS President/CEO 970-644-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2022-10-07 |
| Last Update Date | 2022-11-29 |