NPI | 1356968234 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID SEGRAVES Member 513-486-3744 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
Additional Taxonomies | 111N00000X Chiropractor |
208100000X Physical Medicine & Rehabilitation | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-06-26 |
Last Update Date | 2023-01-27 |