| NPI | 1376116343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CRITTENDEN Owner 256-302-2228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2022-09-28 |