| NPI | 1417604042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID EDWARD BUECHNER Physician 901-413-3618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2022-08-04 |