| NPI | 1417253972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD E HARBUT Md 501-545-6978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: AZ 20567) |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |