| NPI | 1447617238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE BURDMAN Partner 443-768-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 111N00000X Chiropractor |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2017-02-27 |