NPI | 1386265353 |
---|---|
Doing Business As | VITAL SPINE AND PAIN |
Entity Type | Organization |
Authorized Contact | JEFFREY LAWRENCE WASSERMAN Managing Member 214-886-2108 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
Enumeration Date | 2020-05-01 |
Last Update Date | 2023-09-20 |