| NPI | 1407522212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A. IRWIN Owner 479-268-6090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |