| NPI | 1407975493 |
|---|---|
| Doing Business As | INTERVENTIONAL SPINE & PAIN CENTER |
| Entity Type | Organization |
| Authorized Contact | VIVEKANAND MANOCHA Owner 937-619-0724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: OH 35-087792) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2021-10-01 |