| NPI | 1376888792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FINKLE Rcm Sr. Director 855-836-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2012-12-11 |
| Last Update Date | 2025-08-06 |