| NPI | 1366630592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE L CAYWOOD Office Manager 719-634-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-10-12 |