| NPI | 1437349578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL H VERDOLIN Owner 619-271-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine (Licence: CA A 92149) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2008-08-22 |