| NPI | 1376159293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MECHAM Dir Of Operations 702-948-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Additional Taxonomies | 207LA0401X Anesthesiology Addiction Medicine |
| 207LP2900X Anesthesiology Pain Medicine | |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2020-11-30 |