| NPI | 1407035553 |
|---|---|
| Other Name | MNMC PAIN MANAGEMENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | BRYAN ROACH CFO 814-234-6148 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2021-10-04 |