| NPI | 1417474602 |
|---|---|
| Former Legal Business Name | MOMENTA PAIN BILLING, LLC |
| Entity Type | Organization |
| Authorized Contact | SHELLY ROSS Billing Manager 531-283-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2017-08-28 |
| Last Update Date | 2023-12-04 |