| NPI | 1366849572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MARSH Md/Owner 208-994-2907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: ID M9452) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2023-06-22 |